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NPI Code Detail

MEDICARE: JANA TRAUTMANN PALOSI M.A., L.P.C.

MEDICARE:   JANA TRAUTMANN PALOSI  M.A., L.P.C.
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 Counselor62245TX

General Provider Information

NPI Number : 1740427764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA TRAUTMANN PALOSI M.A., L.P.C.
Provider Business Mailing Address
First Line : 403 TREELINE PARK
Second Line : SUITE # 101
City : SAN ANTONIO
State : TX
Zip : 78209-2042
Country : US
Telephone Number : 210-447-6363
Fax Number : 210-447-6364
Provider Business Practice Location Address
First Line : 403 TREELINE PARK
Second Line : SUITE # 101
City : SAN ANTONIO
State : TX
Zip : 78209-2042
Country : US
Telephone Number : 210-447-6363
Fax Number : 210-447-6364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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Directions to “ JANA TRAUTMANN PALOSI M.A., L.P.C.” Practice Location

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