Bannin, Jack

Bannin, Jack is an sole proprietor health care provider with primary practice located at 11230 West Ave Ste 1203 , San Antonio TX 78213-1359. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bannin, Jack can be contacted via phone (210) 320-2999.

Contact Information

Primary practice address
11230 West Ave Ste 1203 San Antonio TX 78213-1359
Phone: (210) 320-2999
Fax: (210) 320-4716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5072 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 18744 Texas

Profile Details

NPI number 1902915861
LBN Legal business name Bannin, Jack
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902915861 NPPES
Texas MEDICAID 163782902

Popular Providers