| Cordova Counseling Services Pllc | |
|
115 N University Dr Ste A Nacogdoches TX 75961-5126 | |
| (936) 371-1172 | |
| (866) 598-3817 |
| Full Name | Cordova Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 115 N University Dr Ste A, Nacogdoches, Texas |
| Authorized Official Name and Position | Amanda Paige Cordova (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9363711172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordova Counseling Services Pllc 872 Fm 2664 Nacogdoches TX 75965-1281 Ph: (936) 679-3101 | Cordova Counseling Services Pllc 115 N University Dr Ste A Nacogdoches TX 75961-5126 Ph: (936) 371-1172 |
| NPI Number | 1427742196 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427742196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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