Individual
MS. WONDRA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7709 BROADWAY ST., #115, SAN ANTONIO, TX 78209
(210) 385-2639
Mailing address
7709 BROADWAY ST., #115, SAN ANTONIO, TX 78209
(210) 385-2639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14563(LPC)
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113113801
—
TX
Enumeration date
05/15/2009
Last updated
05/19/2009
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