Organization
KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BROWN LCPC (LEAD CONSULTANT)
(210) 687-9715
Entity
Organization
Contact information
Practice address
KINGDOM OUT REACH CENTER OF SAN ANTONIO, 3819 NACO PERRIN BLVD #118, SAN ANTONIO, TX 78217
(210) 687-9715
Mailing address
6027 RED ROSE, SAN ANTONIO, TX 78244-4431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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