Individual
VERONICA GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 CAMDEN ST, SAN ANTONIO, TX 78215-1445
(210) 785-3059
Mailing address
419 E MAGNOLIA AVE, SAN ANTONIO, TX 78212-3012
(210) 601-8929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14174
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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