MEDICARE: PROFESSIONAL ASSESSMENT COUNSELING & TRAINING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP1600X	Pastoral Counselor
3	106H00000X	Marriage & Family Therapist
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1871771931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL ASSESSMENT COUNSELING & TRAINING

Provider Business Mailing Address
First Line	:	4311 TERLINGUA
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3438
Country	:	US
Telephone Number	:	713-475-0072
Fax Number	:	713-472-8684

Provider Business Practice Location Address
First Line	:	4311 TERLINGUA
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3438
Country	:	US
Telephone Number	:	713-475-0072
Fax Number	:	713-472-8684

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEVEN DOUGLAS CHRISTOPHERSON
Credential	:	LPC
Telephone Number	:	713-475-0072

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	09/03/2019

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