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NPI Code Detail

MEDICARE: MS. JANICE MARIE PICHLER LPC/LCDC

MEDICARE: MS. JANICE MARIE PICHLER LPC/LCDC
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
1101YM0800XMental Health Counselor09454TX

General Provider Information

NPI Number : 1588655211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANICE MARIE PICHLER LPC/LCDC
Provider Business Mailing Address
First Line : 511 BLAKELEY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-5510
Country : US
Telephone Number : 210-824-3297
Fax Number :
Provider Business Practice Location Address
First Line : MCHE BMA 3851 ROGER BROOKE DR
Second Line : SUITE 3600
City : FORT SAM HOUSTON
State : TX
Zip : 78234
Country : US
Telephone Number : 210-295-4962
Fax Number : 210-295-4751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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Directions to “ MS. JANICE MARIE PICHLER LPC/LCDC” Practice Location

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