Mayra Cano, LPC | |
12207 Jacobs Pond, San Antonio, TX 78253-5503 | |
(956) 566-7814 | |
Not Available |
Full Name | Mayra Cano |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 12207 Jacobs Pond, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063882348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 68982 (Texas) | Primary |
Entity Name | Vitality Life Counseling Of San Antonio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265017636 PECOS PAC ID: 0143612259 Enrollment ID: O20220124001056 |
Mailing Address | Practice Location Address |
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Mayra Cano, LPC 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 Ph: (210) 614-4990 | Mayra Cano, LPC 12207 Jacobs Pond, San Antonio, TX 78253-5503 Ph: (956) 566-7814 |
Paul Cassidy, Counselor Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240 Phone: 210-615-3483 | |
Andrea M Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-738-8025 | |
Mrs. Cassandra Iris Limon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr Ste 7250, San Antonio, TX 78229 Phone: 210-734-9352 | |
Terri Kurpgeweit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 Blanco Rd, 501, San Antonio, TX 78216 Phone: 210-764-3570 | |
Elizabeth Marie Villarreal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 San Pedro Ave, San Antonio, TX 78212 Phone: 210-558-8744 | |
Laura L Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-731-8678 | |
Kelly D Mitchell, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1024 Fax: 210-738-8025 |