Individual
CHRISTOPHER LEE SOULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8002 WEST AVE, SAN ANTONIO, TX 78213-1865
(713) 686-9194
(713) 686-9413
Mailing address
PO BOX 550769, HOUSTON, TX 77255-0769
(713) 686-9194
(713) 686-9413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334385702
—
TX
Enumeration date
09/04/2012
Last updated
10/02/2017
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