Most Relevant Information
Provider Data
NPI Number: | 1003589839 |
Provider Name: | IAN MICHAEL REEDER |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 83131 |
Most Important Dates
Enumeration Date: | 07/28/2021 |
Last Updated: | 10/27/2023 |
Provider Practice Location
5372 FREDERICKSBURG RD BLDG F
SAN ANTONIO
TX
782293558
Practice Location Phone/Fax
Phone: | 2102611600 |
Fax: |
Provider Mailing Location
5372 FREDERICKSBURG RD BLDG F
SAN ANTONIO
TX
782293558
Provider Mailing Phone/Fax
Phone: | 2102611600 |
Fax: |