MEDICARE: ANTHONY PALOMO LPC, LCDC

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	77161	TX
2	101YM0800X	Mental Health Counselor	77161	TX
3	101Y00000X	Counselor	77161	TX
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	77161	TX

General Provider Information

NPI Number	:	1699412676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY PALOMO LPC, LCDC

Provider Business Mailing Address
First Line	:	PO BOX 240096
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-0096
Country	:	US
Telephone Number	:	210-874-7620
Fax Number	:	830-250-7015

Provider Business Practice Location Address
First Line	:	11534 PLOVER PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-4405
Country	:	US
Telephone Number	:	210-391-2618
Fax Number	:

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

Provider Enumeration Date	:	05/19/2022
Last Update Date	:	09/14/2025

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