Individual
COLIN MATTHEW SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9939 TEXAS 151 ACCESS ROAD, SAN ANTONIO, TX 78251
(210) 706-7800
Mailing address
13722 MEADOWICK DR, SAN ANTONIO, TX 78253-5131
(757) 373-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14921
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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