Individual
BROOKE MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12030 BANDERA RD STE 108G, HELOTES, TX 78023-4736
(210) 245-9741
Mailing address
11342 LONG RIDER, SAN ANTONIO, TX 78254-2729
(210) 245-9741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91558
TX
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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