RYAN K MIXON

CONVERSE, TX
NPI1881162964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  13626)
Enumeration Date2018-11-07
Last Update Date2025-05-30
Business Address
RYAN K MIXON
4106 WINCHESTER CV
CONVERSE, TX 78109-0738
Phone number: 210-992-5646
Mailing Address
RYAN K MIXON
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000