GLEN EDWARD TISDALE

SAN ANTONIO, TX
NPI1851843437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  73414)
Additional Taxonomies101Y00000X Counselor
(Licence: TX  73414)
101YP2500X Counselor, Professional
(Licence: TX  73414)
Enumeration Date2016-10-28
Last Update Date2024-09-12
Business Address
Mr. GLEN EDWARD TISDALE LPC
4235 VALLEYFIELD ST
SAN ANTONIO, TX 78222-3714
Phone number: 210-709-5848
Mailing Address
Mr. GLEN EDWARD TISDALE LPC
4235 VALLEYFIELD ST
SAN ANTONIO, TX 78222-3714
Phone number: 210-709-5848