Organization
END2BEGIN
Active
Other names
KKCTX, Kind Kid's Club
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY CANTU M.A., NCC, LCDC, LPC (PRESIDENT)
(210) 834-5017
Entity
Organization
Contact information
Practice address
543 LEXINGTON PASS, CANYON LAKE, TX 78133-3268
(210) 834-5017
Mailing address
543 LEXINGTON PASS, CANYON LAKE, TX 78133-3268
(210) 834-5017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
03/28/2025
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