Individual
CALLIE BOONE COUNTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
576 MONKEY RD, ELGIN, TX 78621-5977
(512) 740-4258
Mailing address
576 MONKEY RD, ELGIN, TX 78621-5977
(512) 740-4258
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303723
TX
Other
Enumeration date
10/25/2022
Last updated
10/31/2023
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