Organization
INNOVA RECOVERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASI HOWARD (OWNER)
(210) 254-3618
Entity
Organization
Contact information
Practice address
2524 N BROADWAY # 563, EDMOND, OK 73034-4172
(210) 254-3618
(210) 881-9022
Mailing address
3502 PAESANOS PKWY STE 101, SAN ANTONIO, TX 78231-1297
(210) 254-3618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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