Individual
ALYSSA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
515 BUSBY DR, SAN ANTONIO, TX 78209-1116
(210) 464-5291
Mailing address
1840 POPPY MALLOW, SAN ANTONIO, TX 78260-2444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73462
TX
Other
Enumeration date
03/17/2017
Last updated
03/12/2024
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