Individual
MISS JAMIE HUMPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
96 CROSSROADS BLVD STE 250, SAN ANTONIO, TX 78201-6523
(210) 736-0106
(210) 736-2609
Mailing address
12526 LA MANANA ST, SAN ANTONIO, TX 78233-6331
(210) 273-8372
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
68530
TX
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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