Individual
TYNISHA L SKINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
6502 BANDERA RD STE 101, SAN ANTONIO, TX 78238-1445
(210) 769-3811
(210) 634-2517
Mailing address
6502 BANDERA RD STE 101, SAN ANTONIO, TX 78238-1445
(210) 769-3811
(210) 634-2517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96457
TX
101YP2500X
Professional Counselor
96457
TX
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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