Individual
STACIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7603 CABALLO CYN, SAN ANTONIO, TX 78244-3513
(937) 765-2343
Mailing address
7603 CABALLO CYN, SAN ANTONIO, TX 78244-3513
(937) 765-2343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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