ETHSEL LARA

SAN ANTONIO, TX
NPI1134743735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-05-31
Last Update Date2020-05-31
Business Address
ETHSEL LARA QMHP-CS
2822 N LOOP 1604 W STE 111
SAN ANTONIO, TX 78248-4551
Phone number: 210-273-4085
Mailing Address
ETHSEL LARA QMHP-CS
2822 N LOOP 1604 W STE 111
SAN ANTONIO, TX 78248-4551
Phone number: 210-273-4085
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