Individual
ALYSE BAGNARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N SAN SABA STE 1003, SAN ANTONIO, TX 78207-3100
(210) 261-3100
(210) 261-3742
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1060
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80405
TX
Other
Enumeration date
02/18/2020
Last updated
11/06/2023
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