Anthony A.M. Pearson Ma Med Lpc Ncc
Counselor, Professional in Canyon Lake, TX. Organization (NPI-2).
NPI number1831815646
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1831815646
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthony A.M. Pearson Ma Med Lpc Ncc
- Organization subpart
- No
- Enumeration date
- Oct 13, 2022
- Certification date
- Oct 13, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1768 Fm 2673 Ste 2Canyon Lake, TX 78133-4768
Phone 210-632-0358
Mailing address
1768 Fm 2673 Ste 2Canyon Lake, TX 78133-4768
Phone 210-632-0358
Authorized official
Anthony Pearson
Owner
2106320358
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