Individual
MS. MARI E RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4203 WOODCOCK DR, SUITE 265, SAN ANTONIO, TX 78228-1320
(210) 737-2674
(210) 734-2412
Mailing address
4203 WOODCOCK DR, SUITE 265, SAN ANTONIO, TX 78228-1320
(210) 737-2674
(210) 734-2412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC14322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095865402
—
TX
05
—
095865403
—
TX
01
—
528735
VO PROVIDER NUMBER
TX
01
—
83801L
BCBS PROVIDER NUMBER
TX
Enumeration date
09/25/2006
Last updated
05/21/2008
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