Individual
BETTSIE E SPECIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LMFT
Contact information
Practice address
8301 BROADWAY ST, STE 112, SAN ANTONIO, TX 78209-2066
(210) 821-5980
(210) 821-6121
Mailing address
8301 BROADWAY ST, STE 112, SAN ANTONIO, TX 78209-2066
(210) 821-5980
(210) 821-6121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S03925
TX
106H00000X
Marriage & Family Therapist
3226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064237301
—
TX
Enumeration date
10/27/2006
Last updated
05/04/2017
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