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General NPI Number Information
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NPI Number | 1619394913
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Entity Type | Organization
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Legal Business Name | SJRC TEXAS, INC.
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1400 RIDGE CREEK LN
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City | BULVERDE
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State | TX
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Zip | 78163-2804
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Country | US
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Telephone | 210-364-3972
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Fax | 830-885-4354
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Provider Business Mailing Address
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Address Line | 1400 RIDGE CREEK LN
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City | BULVERDE
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State | TX
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Zip | 78163-2804
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Country | US
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Telephone | 210-876-6763
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Fax | 830-885-4354
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Authorized Official
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Title or Position | VP OF CLINICAL SERVICES
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Name | CORRINA ESPINOSA-HERRERA
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Credential | LPC-S
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Telephone | 210-391-4689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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