Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 SPRING OAK DR, SAN ANTONIO, TX 78219
(210) 636-1028
Mailing address
4303 SPRING OAK DR, SAN ANTONIO, TX 78219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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