Individual
CASEY NICOLE JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LCSW
Contact information
Practice address
1710 LONGFIELD, SAN ANTONIO, TX 78248-1212
(210) 896-6143
Mailing address
1710 LONGFIELD, SAN ANTONIO, TX 78248-1212
(210) 896-6143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58624
BHEC
TX
Enumeration date
11/28/2022
Last updated
04/18/2023
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