Individual
CHARLES H TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12050 VANCE JACKSON RD., BLDG. 2 SUITE 201, SAN ANTONIO, TX 78230-1183
(210) 699-8881
(210) 699-0503
Mailing address
12050 VANCE JACKSON RD, BLDG 2 STE 201, SAN ANTONIO, TX 78230-1183
(210) 699-8881
(210) 699-0503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8835
TX
103TB0200X
Cognitive & Behavioral Psychologist
10968
TX
106H00000X
Marriage & Family Therapist
1884
TX
Other
Enumeration date
07/14/2006
Last updated
09/03/2025
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