Individual
MS. MARTHA SUE DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
825 E BASSE RD, SAN ANTONIO, TX 78209-1832
(210) 826-3215
Mailing address
39 LONGSFORD, SAN ANTONIO, TX 78209-1817
(210) 826-3215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11560
MARRIAGE & FAMILY THERAPI
TX
01
—
3653
PROFESSIONAL COUNSELOR
TX
Enumeration date
02/12/2007
Last updated
07/09/2007
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