MEDICARE: SHAWNA MARIE SCARNATO LPC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	62943	TX

General Provider Information

NPI Number	:	1104389329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA MARIE SCARNATO LPC-S

Provider Business Mailing Address
First Line	:	16250 GALLOPING OAK KNL
Second Line	:
City	:	SELMA
State	:	TX
Zip	:	78154-3916
Country	:	US
Telephone Number	:	210-391-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 AVENUE B
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-2300
Country	:	US
Telephone Number	:	830-582-4090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2019
Last Update Date	:	04/14/2019

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