Individual
CATHERINE CODY WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
7201 BROADWAY, SAN ANTONIO, TX 78209-3743
(210) 861-9542
Mailing address
221 COUNTRY MDW, BOERNE, TX 78006-5791
(210) 861-9542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73175
TX
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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