Individual
MRS. MARIA SOLEDAD PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
110A DUSTINS DR, KYLE, TX 78640-5026
(210) 939-5627
Mailing address
PO BOX 1125, KYLE, TX 78640-1125
(210) 939-5627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14278
TX
Other
Enumeration date
04/06/2019
Last updated
11/20/2022
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