Individual
JOSEPH BAMBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 261-1000
(210) 731-8678
Mailing address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 261-1000
(210) 731-8678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10753
TX
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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