Individual
MR. CHARLES PALMER COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11204 WEST AVE, SAN ANTONIO, TX 78213-1339
(210) 849-7264
(830) 438-5354
Mailing address
519 SENDERA ST, SAN ANTONIO, TX 78260-2245
(210) 849-7264
(830) 438-5354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19919
TX
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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