Doctor Name: | PETRA MANN |
NPI Number: | 1952620072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63646 |
Business Practice Address: | 700 Rogers St San Marcos, TX - 786663228 |
Business Phone Number: | 8322762847 |
Business Fax Number: | 5123921584 |
Mailing Address: | 700 Rogers St, SAN MARCOS |
State: | TX |
Postal Code: | 786663228 |
Phone Number: | 8322762847 |
Fax Number: | 5123921584 |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 63646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |