| Anita M Johnston L P C P A | |
|
1978 Babcock Rd San Antonio TX 78229-4512 | |
| (210) 602-1975 | |
| (210) 614-2266 |
| Full Name | Anita M Johnston L P C P A |
|---|---|
| Speciality | Counselor |
| Location | 1978 Babcock Rd, San Antonio, Texas |
| Authorized Official Name and Position | Anita Marie Johnston (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2106021975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita M Johnston L P C P A 4911 E Beverly Mae Dr San Antonio TX 78229-4937 Ph: (210) 602-1975 | Anita M Johnston L P C P A 1978 Babcock Rd San Antonio TX 78229-4512 Ph: (210) 602-1975 |
| NPI Number | 1073381976 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 8820440761 |
|---|---|
| Medicare Enrollment ID | O20240117000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073381976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Anita M Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497811566 PECOS PAC ID: 2769831478 Enrollment ID: I20240116002868 |
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