Organization
EDELWEISS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONJA BIRGID MONTGOMERY PH.D. (MENTAL HEALTH COUNSELOR/OWNER)
(210) 846-4284
Entity
Organization
Contact information
Practice address
215 MELLIFF DR, SAN ANTONIO, TX 78216-7130
(210) 846-4284
Mailing address
215 MELLIFF DR, SAN ANTONIO, TX 78216-7130
(210) 846-4284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17359
TX
101YP2500X
Professional Counselor
17359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1733719-01
—
TX
Enumeration date
02/18/2010
Last updated
08/14/2011
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