Organization · Type 2 NPI

Native Life

Pastoral Counselor · San Antonio, TX

NPI number 1639552383 Active

Practice location

2017 W Mulberry Ave
San Antonio, TX 78201-4957

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X8472 (TX)
Pastoral Counselor Primary 101YP1600XNone listed
Psychologist 103T00000X3556573 (AZ)
Student in an Organized Health Care Education/Training Program 390200000X3556573 (AZ)

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About NPI 1639552383

Native Life's National Provider Identifier is 1639552383, issued on Jun 30, 2015. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in San Antonio, TX. The record was last updated on Jun 30, 2015.