Individual
CHARLENE MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5522 LONE STAR PKWY STE 330, SAN ANTONIO, TX 78253-6719
(210) 614-4990
(210) 614-4991
Mailing address
2424 GOLD CANYON DR APT 1312, SAN ANTONIO, TX 78259-3664
(361) 877-2174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
77134
TX
101YP2500X
Professional Counselor
Primary
77134
TX
Other
Enumeration date
05/07/2019
Last updated
06/24/2024
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