| Third Space Counseling And Consultation, Pllc | |
|
1380 Pantheon Way Suite 245 San Antonio TX 78232 | |
| (210) 602-9499 | |
| Not Available |
| Full Name | Third Space Counseling And Consultation, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1380 Pantheon Way Suite 245, San Antonio, Texas |
| Authorized Official Name and Position | Jeff Gatlin (PRESIDENT) |
| Authorized Official Contact | 2106029499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Space Counseling And Consultation, Pllc 1727 Salt Lick Rd San Antonio TX 78232 Ph: (210) 602-9499 | Third Space Counseling And Consultation, Pllc 1380 Pantheon Way Suite 245 San Antonio TX 78232 Ph: (210) 602-9499 |
| NPI Number | 1003334616 |
|---|---|
| Provider Enumeration Date | 09/03/2017 |
| Last Update Date | 09/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003334616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 17621 (Texas) | Primary |
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