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1760215974
LEO JUSTIN PETER BUCKLEY
SAN ANTONIO, TX
NPI
1760215974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 65935)
Enumeration Date
2024-08-22
Last Update Date
2024-09-03
Business Address
LEO JUSTIN PETER BUCKLEY LCDC-I
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207-3011
Phone number: 210-261-3750
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Mailing Address
LEO JUSTIN PETER BUCKLEY LCDC-I
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
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