Individual
JESSE RYAN CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11-3784 2ND ST, VOLCANO, HI 96785
(210) 527-8755
(210) 714-9757
Mailing address
2186 JACKSON KELLER RD, PMB 3081, SAN ANTONIO, TX 78213
(210) 527-8755
(210) 714-9757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
61390269
WA
1041C0700X
Clinical Social Worker
Primary
64271
TX
1041C0700X
Clinical Social Worker
LCSW-5041
HI
Other
Enumeration date
10/06/2019
Last updated
07/06/2023
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