Individual
JUAN CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 CULEBRA RD, SAN ANTONIO, TX 78228-5914
(210) 314-6473
Mailing address
3615 CULEBRA RD, SAN ANTONIO, TX 78228-5914
(210) 314-6473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11859
TX
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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