MEDICARE: DR. JOSEPH A. ACHACOSO PH.D., 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	19055	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336146463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH A. ACHACOSO PH.D., LPC

Provider Business Mailing Address
First Line	:	104 W MAIN ST
Second Line	:	STE E
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-2758
Country	:	US
Telephone Number	:	512-989-1152
Fax Number	:	512-989-7564

Provider Business Practice Location Address
First Line	:	104 W MAIN ST
Second Line	:	STE E
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-2758
Country	:	US
Telephone Number	:	512-989-1152
Fax Number	:	512-989-7564

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	02/08/2017

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