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Organization

FREEDOM RESTORATION COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AHNA E. N. MINK (LMFT)
(210) 789-0897
Entity
Organization

Contact information

Practice address
1162 E SONTERRA BLVD, STE. 130, SAN ANTONIO, TX 78258-4047
(210) 789-0897
Mailing address
1162 E SONTERRA BLVD, STE. 130, SAN ANTONIO, TX 78258-4047
(210) 789-0897

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201777
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
722310
VALUE OPTIONS/MOS
TX
Enumeration date
05/27/2014
Last updated
05/27/2014
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