Provider Demographics
NPI:1629825286
Name:ANOKUTE, CLARISSA RHODA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CLARISSA
Middle Name:RHODA
Last Name:ANOKUTE
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16170 JONES MALTSBERGER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3203
Mailing Address - Country:US
Mailing Address - Phone:210-294-4264
Mailing Address - Fax:
Practice Address - Street 1:16170 JONES MALTSBERGER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3203
Practice Address - Country:US
Practice Address - Phone:210-294-4264
Practice Address - Fax:210-750-1711
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93670101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor