Individual provider · Type 1 NPI
Ryan K. Mixon
Addiction (Substance Use Disorder) Counselor · Converse, TX
NPI number
1881162964
Active
Practice location
4106 Winchester Cv
Converse, TX 78109-0738
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Other practice locations
- 1747 Citadell Plz Ste 205, San Antonio, TX 78209-1017 · (210) 467-5395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13626 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1881162964
Ryan K. Mixon's National Provider Identifier is 1881162964, issued on Nov 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Converse, TX. The record was last updated on May 30, 2025.