| Tina L Boothe, CADAC | |
|
2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | |
| (210) 292-7725 | |
| Not Available |
| Full Name | Tina L Boothe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811220585 | NPI | - | NPPES |
| 1090 | Other | ICRC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina L Boothe, CADAC 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 Ph: (210) 292-7725 | Tina L Boothe, CADAC 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 Ph: (210) 292-7725 |
Mrs. Iris Vanessa Teasley, CADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236 Phone: 210-292-7702 | |
Mr. Warren Miguel Meekins, CADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236 Phone: 210-292-5978 | |
Amy Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-4461 Fax: 210-292-4502 |