Individual
DIANE LEIGH FREI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
530 SAN PEDRO AVE, SAN ANTONIO, TX 78212-5006
(512) 393-9932
Mailing address
12727 VISTA DEL NORTE APT 1211, SAN ANTONIO, TX 78216-8021
(512) 393-9932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
62255
TX
101YP2500X
Professional Counselor
62255
TX
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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