Individual
JAMES JENSEN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 CULEBRA RD, SAN ANTONIO, TX 78228-5914
(210) 314-6473
Mailing address
5119 GUINEVERE DR, SAN ANTONIO, TX 78218-2721
(512) 934-4878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
46826
TX
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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