Individual
CHANTEL R CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E RAMSEY RD STE 305, SAN ANTONIO, TX 78216-3932
(210) 723-5647
Mailing address
7601 GATEWAY BLVD APT 1536, LIVE OAK, TX 78233-2769
(210) 723-5647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
82083
TX
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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