Individual
SAMUEL M SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
306 S FLORES ST, SAN ANTONIO, TX 78204-1106
(210) 224-7714
(210) 224-7783
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
246
TX
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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