MEDICARE: CHRISANNE A MARTONE

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	85920	TX
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1306558838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISANNE A MARTONE

Provider Business Mailing Address
First Line	:	1914 EAGLE MTN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-7030
Country	:	US
Telephone Number	:	210-857-1860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 N LOOP 1604 E
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1368
Country	:	US
Telephone Number	:	210-614-4990
Fax Number	:

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

Provider Enumeration Date	:	12/15/2022
Last Update Date	:	05/06/2026

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Directions to “ CHRISANNE A MARTONE ” Practice Location

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