Individual
SUSANNA KITAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
21015 MARKET RDG, SAN ANTONIO, TX 78258-4975
(210) 469-0100
Mailing address
21015 MARKET RDG, SAN ANTONIO, TX 78258-4975
(210) 469-0100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203028
TX
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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