Provider Demographics
NPI:1023304334
Name:DRZYMALLA, JOSLYN LESLIE (MA, NCC, LPC-S)
Entity type:Individual
Prefix:
First Name:JOSLYN
Middle Name:LESLIE
Last Name:DRZYMALLA
Suffix:
Gender:F
Credentials:MA, NCC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8626 TESORO DR STE 806
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6217
Mailing Address - Country:US
Mailing Address - Phone:210-281-5491
Mailing Address - Fax:210-281-5433
Practice Address - Street 1:8626 TESORO DR STE 806
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6217
Practice Address - Country:US
Practice Address - Phone:210-281-5491
Practice Address - Fax:210-281-5433
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional