Organization
WELLSPRING BRANCH COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CAROLINA FIERRO LPC (COUNSELOR)
(956) 551-0836
Entity
Organization
Contact information
Practice address
2085 SUNSET LAKE DR, BROWNSVILLE, TX 78520-9280
(956) 551-0836
Mailing address
2085 SUNSET LAKE DR, BROWNSVILLE, TX 78520-9280
(956) 551-0836
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
68897
TX
261QM0850X
Adult Mental Health Clinic/Center
68897
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
68897
TX
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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