| Coronado Counseling Center- Clear Lake | |
|
1115 Gemini St Ste 200 Houston TX 77058-2707 | |
| (281) 461-6220 | |
| (833) 593-9064 |
| Full Name | Coronado Counseling Center- Clear Lake |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1115 Gemini St Ste 200, Houston, Texas |
| Authorized Official Name and Position | Cynthia Lee Coronado (OWNER) |
| Authorized Official Contact | 2815121976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coronado Counseling Center- Clear Lake 1115 Gemini St Ste 200 Houston TX 77058-2707 Ph: (281) 461-6220 | Coronado Counseling Center- Clear Lake 1115 Gemini St Ste 200 Houston TX 77058-2707 Ph: (281) 461-6220 |
| NPI Number | 1861963001 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861963001 | NPI | - | NPPES |
| 1447654595 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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