Individual
BLYTHE MONROE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOCIATE
Contact information
Practice address
26310 OAK RIDGE DR STE 35, THE WOODLANDS, TX 77380-3777
(346) 386-7045
Mailing address
26310 OAK RIDGE DR STE 35, THE WOODLANDS, TX 77380-3777
(346) 386-7045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94122
TX
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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