JULIO MATA DOMINGUEZ

SAN ANTONIO, TX
NPI1538724224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-08
Last Update Date2022-04-12
Business Address
Mr. JULIO MATA DOMINGUEZ LCDC
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1042
Mailing Address
Mr. JULIO MATA DOMINGUEZ LCDC
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1042
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