Individual
MRS. DORTHY B KOTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
702 S WASHINGTON AVE, BRYAN, TX 77803-3985
(979) 779-2864
(979) 779-8522
Mailing address
1259 COUNTY ROAD 425, DIME BOX, TX 77853
(979) 884-0417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11970
TX
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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