Individual
KIRSTEN WENDEBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1322 SPACE PARK DR, HOUSTON, TX 77058-3400
(832) 801-7637
Mailing address
1322 SPACE PARK DR, HOUSTON, TX 77058-3400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15888
TX
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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