Individual
MRS. CHARLOTTE A KOINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21714 HARDY OAK BLVD, SUITE #104, SAN ANTONIO, TX 78258-4838
(210) 490-9062
(210) 490-8843
Mailing address
21714 HARDY OAK BLVD, SUITE #104, SAN ANTONIO, TX 78258-4838
(210) 490-9062
(210) 490-8843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84441L
BLUECROSS/BLUESHIELDOF TX
TX
Enumeration date
10/10/2006
Last updated
07/08/2007
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