Basic Information
| Provider Information | |||||||||
| NPI: | 1710433032 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CALHOUN | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC INTERN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7272 WURZBACH ROAD | ||||||||
| Address2: | SUITE #601 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782404803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106153483 | ||||||||
| FaxNumber: | 2105939863 | ||||||||
| Practice Location | |||||||||
| Address1: | 1351 SADLER DRIVE | ||||||||
| Address2: | |||||||||
| City: | SAN MARCOS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5128055000 | ||||||||
| FaxNumber: | 5128055050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2016 | ||||||||
| LastUpdateDate: | 08/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 73944 | TX | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | 73944 | TX | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 73944 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.