Provider Demographics
NPI:1891688024
Name:EDMISTON, AARON MATTHEW (LPC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MATTHEW
Last Name:EDMISTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7718 PARAISO HVN
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4884
Mailing Address - Country:US
Mailing Address - Phone:210-313-2111
Mailing Address - Fax:
Practice Address - Street 1:7718 PARAISO HVN
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-4884
Practice Address - Country:US
Practice Address - Phone:210-313-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91797101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional