Individual
PASTEPHINE M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N FRIO ST BLDG 2, SAN ANTONIO, TX 78207-3011
(210) 261-1000
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12905
TX
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/11/2017
Last updated
08/22/2023
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