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NPI Code Detail

MEDICARE: MANUEL GALVAN LCDC-I

MEDICARE: MANUEL GALVAN LCDC-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1215400346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL GALVAN LCDC-I
Provider Business Mailing Address
First Line : 3701 W COMMERCE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3611
Country : US
Telephone Number : 210-434-0531
Fax Number :
Provider Business Practice Location Address
First Line : 3701 W COMMERCE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3611
Country : US
Telephone Number : 210-434-0531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2019
Last Update Date : 01/11/2019

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Directions to “ MANUEL GALVAN LCDC-I” Practice Location

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