Anthony A.m. Pearson Ma Med Lpc Ncc | |
1768 Fm 2673 Ste 2 Canyon Lake TX 78133-4768 | |
(210) 632-0358 | |
Not Available |
Full Name | Anthony A.m. Pearson Ma Med Lpc Ncc |
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Speciality | Counselor - Professional |
Location | 1768 Fm 2673 Ste 2, Canyon Lake, Texas |
Authorized Official Name and Position | Anthony Pearson (OWNER) |
Authorized Official Contact | 2106320358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anthony A.m. Pearson Ma Med Lpc Ncc 1768 Fm 2673 Ste 2 Canyon Lake TX 78133-4768 Ph: (210) 632-0358 | Anthony A.m. Pearson Ma Med Lpc Ncc 1768 Fm 2673 Ste 2 Canyon Lake TX 78133-4768 Ph: (210) 632-0358 |
NPI Number | 1831815646 |
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Provider Enumeration Date | 10/13/2022 |
Last Update Date | 10/13/2022 |
Certification Date | 10/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831815646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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