Community Counseling Services | |
11360 West Lacoma Road Lyford TX 78569 | |
(956) 343-1439 | |
(956) 347-3182 |
Full Name | Community Counseling Services |
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Speciality | Clinic/center |
Location | 11360 West Lacoma Road, Lyford, Texas |
Authorized Official Name and Position | Wenda Ann Kolterman (PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 9563431439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Counseling Services 11360 West Lacoma County Road Lyford TX 78569 Ph: (956) 343-1439 | Community Counseling Services 11360 West Lacoma Road Lyford TX 78569 Ph: (956) 343-1439 |
NPI Number | 1124398896 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
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1124398896 | NPI | - | NPPES |
179375401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 19782 (Texas) | Primary |