Erling K Antonsson, LPC | |
12109 23rd St, Santa Fe, TX 77510-2058 | |
(415) 404-9266 | |
Not Available |
Full Name | Erling K Antonsson |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 12109 23rd St, Santa Fe, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922285675 | NPI | - | NPPES |
190062302 | Medicaid | TX | |
190062304 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 62115 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Erling K Antonsson, LPC 3824 Cedar Springs Rd # 801-1409, Dallas, TX 75219-4136 Ph: (415) 404-9266 | Erling K Antonsson, LPC 12109 23rd St, Santa Fe, TX 77510-2058 Ph: (415) 404-9266 |
Tonya Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Prarie Oaks Drive, Santa Fe, TX 77510 Phone: 832-564-9332 | |
Amy Harlow, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Avenue S, Santa Fe, TX 77510 Phone: 409-770-4021 |