MEDICARE: CHRISTINA A BROOKS 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	101YP2500X	TX

General Provider Information

NPI Number	:	1548845886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA A BROOKS LPC

Provider Business Mailing Address
First Line	:	8931 GALLOP CHASE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-5727
Country	:	US
Telephone Number	:	210-683-5234
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 MADISON OAK DR STE 340
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3921
Country	:	US
Telephone Number	:	210-789-7683
Fax Number	:

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

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	11/04/2024

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Directions to “ CHRISTINA A BROOKS LPC” Practice Location

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