Jack Bannin in San Antonio - Marriage & Family Therapist
Jack Bannin - NPI 1902915861
Jack Bannin is a Marriage & Family Therapist in San Antonio, Texas. Jack Bannin practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jack Bannin is 1902915861. The last update date is 2007-07-08.
Jack Bannin's current location address is 2118 N Main Ave, San Antonio, Texas. You can contact this provider via phone number 2107310200 and fax number 2107310214. The mailing address for Jack Bannin is 2118 N Main Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Bannin |
|---|---|
| Address | 2118 N Main Ave, San Antonio, Texas |
| Phone Number | 2107310200 |
| Fax Number | 2107310214 |
| Sole Proprietor | N |
| Credentials | LPC LMFT |
NPI Number Detail
| NPI Number | 1902915861 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2118 N Main Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782125851 |
| Phone Number | 2107310200 |
| Fax Number | 2107310214 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 5072 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Bannin by the Centers for Medicare & Medicaid Services?
The Jack Bannin has been issued the NPI (National Provider Identifier) 1902915861 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jack Bannin is physically located?
The Jack Bannin is situated at the following address: 2118 N Main Ave, San Antonio, TX 782125851.
What is the Jack Bannin's specialty and taxonomy code?
The Jack Bannin's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
When was the Jack Bannin's 1902915861 issued?
The Jack Bannin's 1902915861 was issued on 2006-08-30.
As of what date were the details pertaining to Jack Bannin last refreshed?
The information related to the Jack Bannin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.