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NPI Code Detail

MEDICARE: JENIFER DEWEESE MENZEL

MEDICARE:   JENIFER  DEWEESE MENZEL
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
1101YP2500XProfessional Counselor79529TX

General Provider Information

NPI Number : 1871285817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER DEWEESE MENZEL
Provider Business Mailing Address
First Line : 401 AUSTIN HWY STE 209
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4670
Country : US
Telephone Number : 210-868-5103
Fax Number :
Provider Business Practice Location Address
First Line : 401 AUSTIN HWY STE 209
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4670
Country : US
Telephone Number : 210-868-5103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 05/30/2023

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Directions to “ JENIFER DEWEESE MENZEL ” Practice Location

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