MEDICARE: ROXANNE COLLINS LPC

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	84048	TX

General Provider Information

NPI Number	:	1275265241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE COLLINS LPC

Provider Business Mailing Address
First Line	:	7244 STORMS END
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4269
Country	:	US
Telephone Number	:	210-376-1850
Fax Number	:

Provider Business Practice Location Address
First Line	:	11153 WESTWOOD LOOP STE 122
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6766
Country	:	US
Telephone Number	:	210-596-9380
Fax Number	:

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

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	06/28/2022

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Directions to “ ROXANNE COLLINS LPC” Practice Location

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