| Psychotherapeutic Services | |
|
19179 Blanco Rd Ste San Antonio TX 78258-4009 | |
| (951) 900-3034 | |
| (951) 344-8293 |
| Full Name | Psychotherapeutic Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19179 Blanco Rd Ste, San Antonio, Texas |
| Authorized Official Name and Position | Isaac Carreon (OWNER) |
| Authorized Official Contact | 5623345055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services 5838 Fort Stanwix St San Antonio TX 78233-5113 Ph: (951) 900-3034 | Psychotherapeutic Services 19179 Blanco Rd Ste San Antonio TX 78258-4009 Ph: (951) 900-3034 |
| NPI Number | 1497438477 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 8921456252 |
|---|---|
| Medicare Enrollment ID | O20231128001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497438477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Isaac Carreon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437334653 PECOS PAC ID: 0749638070 Enrollment ID: I20240123001163 |
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