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NPI Code Detail

MEDICARE: MS. ANITA M JOHNSTON LPC

MEDICARE: MS. ANITA M JOHNSTON 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
1101YP2500XProfessional Counselor6074TX

General Provider Information

NPI Number : 1497811566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANITA M JOHNSTON LPC
Provider Business Mailing 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
Provider Business Practice Location Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-614-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2006
Last Update Date : 12/13/2019

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Directions to “ MS. ANITA M JOHNSTON LPC” Practice Location

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