Individual
REGINA REYNERO CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
601 N FRIO ST BLDG 2, SAN ANTONIO, TX 78207-3011
(210) 261-3001
(210) 731-9661
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13709
TX
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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