Organization
PSYCHOTHERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC CARREON PH.D. (OWNER)
(562) 334-5055
Entity
Organization
Contact information
Practice address
19179 BLANCO RD STE, SAN ANTONIO, TX 78258-4009
(951) 900-3034
(951) 344-8293
Mailing address
5838 FORT STANWIX ST, SAN ANTONIO, TX 78233-5113
(951) 900-3034
(951) 344-8293
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
11/09/2023
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