Organization
THE CONSCIOUS CREATOR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JENNIFER PEASRON MS, LPS (OWNER/CLINICAL DIRECTOR)
(210) 851-0803
Entity
Organization
Contact information
Practice address
1100 NW LOOP 410 STE 700, SAN ANTONIO, TX 78213-2258
(210) 843-6616
Mailing address
9910 BAYTOWN COAST, SAN ANTONIO, TX 78254-4715
(210) 851-0803
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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