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NPI Code Detail

MEDICARE: ANITA M JOHNSTON L P C P A

MEDICARE: ANITA M JOHNSTON L P C P A
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1073381976
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANITA M JOHNSTON L P C P A
Provider Business Mailing Address
First Line : 4911 E BEVERLY MAE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4937
Country : US
Telephone Number : 210-602-1975
Fax Number : 210-614-2266
Provider Business Practice Location Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-602-1975
Fax Number : 210-614-2266
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : ANITA MARIE JOHNSTON
Credential : LPC
Telephone Number : 210-602-1975
Provider Enumeration Date : 12/20/2023
Last Update Date : 12/20/2023

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Directions to “ANITA M JOHNSTON L P C P A ” Practice Location

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