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NPI 1447041389

NPI 1447041389 : RE-START TO RE-ADJUST COUNSELING : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1447041389
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    Entity Type          |    Organization 
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    Legal Business Name  |    RE-START TO RE-ADJUST COUNSELING 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    660 SW MILITARY DR STE N 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78221-1679
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    Country              |    US
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    Telephone            |    210-723-7227
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3122 MISSION BELL 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78224-4450
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    Country              |    US
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    Telephone            |    210-723-7227
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHANDA  ESPARZA 
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    Credential           |    LPC
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    Telephone            |    210-723-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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