Organization
COMMUNITY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDA ANN KOLTERMAN LPC (PROFESSIONAL COUNSELOR)
(956) 343-1439
Entity
Organization
Contact information
Practice address
11360 WEST LACOMA ROAD, LYFORD, TX 78569
(956) 343-1439
(956) 347-3182
Mailing address
11360 WEST LACOMA COUNTY ROAD, LYFORD, TX 78569
(956) 343-1439
(956) 347-3182
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179375401
—
TX
Enumeration date
01/11/2012
Last updated
01/11/2012
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