Organization
EVIDENCE OF GRACE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT AGUALL (OWNER)
(210) 436-2339
Entity
Organization
Contact information
Practice address
803 CASTROVILLE RD, SAN ANTONIO, TX 78237-3153
(210) 436-2339
Mailing address
803 CASTROVILLE RD, SAN ANTONIO, TX 78237-3153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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