Organization · Type 2 NPI
Spa Education Enterprise Resources
Professional Counselor · San Antonio, TX
NPI number
1871877290
Active
Practice location
5282 Medical Drive, Ste. 140
San Antonio, TX 78254
Fax (210) 231-0658
Mailing address
12439 Stillwater Crk
San Antonio, TX 78254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 60445 (TX) |
| Exclusive Provider Organization | 302F00000X | 60445 (TX) |
Professional Counselor: Definition to come...
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About NPI 1871877290
Spa Education Enterprise Resources's National Provider Identifier is 1871877290, issued on Oct 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Oct 4, 2011.