Individual
WANDA ANN MONTEMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11247 PINEHURST DR, AUSTIN, TX 78747-1428
(512) 577-7483
Mailing address
11247 PINEHURST DR, AUSTIN, TX 78747-1428
(512) 577-7483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63602
TX
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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