Individual
JOANNE MYLACRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1528 N MAIN AVE, SAN ANTONIO, TX 78212-4309
(210) 241-3509
Mailing address
4307 KNOLLSTREAM, SAN ANTONIO, TX 78247-2144
(210) 241-3509
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
203535
TX
101YM0800X
Mental Health Counselor
203535
TX
101YP2500X
Professional Counselor
203535
TX
101YS0200X
School Counselor
203535
TX
102L00000X
Psychoanalyst
203535
TX
106H00000X
Marriage & Family Therapist
Primary
203535
TX
221700000X
Art Therapist
203535
TX
225A00000X
Music Therapist
203535
TX
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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