MEDICARE: CHESNEY ANN HUNTER 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	9786	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	14112	TX

General Provider Information

NPI Number	:	1104090042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHESNEY ANN HUNTER LPC

Provider Business Mailing Address
First Line	:	630 CRESTWAY RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78239-2152
Country	:	US
Telephone Number	:	210-241-8065
Fax Number	:	210-626-8953

Provider Business Practice Location Address
First Line	:	4402 VANCE JACKSON RD STE 206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2156
Country	:	US
Telephone Number	:	210-241-8065
Fax Number	:	210-626-8053

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	10/08/2023

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