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1053846097
MIGUEL ANGEL HERNANDEZ
SAN ANTONIO, TX
NPI
1053846097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11104)
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- MIGUEL ANGEL HERNANDEZ LCDC / TSC
3615 CULEBRA ROAD
SAN ANTONIO, TX 78228
Phone number: 210-314-6473
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Mailing Address
-- MIGUEL ANGEL HERNANDEZ LCDC / TSC
6846 FORT BEND
SAN ANTONIO, TX 78223
Phone number: 210-314-6473
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