Individual
BOONE MARTIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5643 CIELO RNCH, SAN ANTONIO, TX 78218-4165
(325) 513-6016
Mailing address
5643 CIELO RNCH, SAN ANTONIO, TX 78218-4165
(325) 513-6016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
95927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95927
LPC
TX
Enumeration date
03/09/2026
Last updated
03/09/2026
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