Individual
BRISA CELESTE CORONADO TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 LAKE AIR DR # 121, WACO, TX 76710-2904
(254) 340-0893
Mailing address
4300 W WACO DR STE B2-238, WACO, TX 76710-7010
(254) 548-5805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
84892
TX
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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