| Coronado Counseling Center | |
|
3315 Burke Rd Ste 106 Pasadena TX 77504-1873 | |
| (713) 548-6961 | |
| Not Available |
| Full Name | Coronado Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3315 Burke Rd Ste 106, Pasadena, Texas |
| Authorized Official Name and Position | Cynthia Lee Coronado (OWNER) |
| Authorized Official Contact | 2815121976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coronado Counseling Center 3315 Burke Rd Ste 106 Pasadena TX 77504-1873 Ph: (713) 548-6961 | Coronado Counseling Center 3315 Burke Rd Ste 106 Pasadena TX 77504-1873 Ph: (713) 548-6961 |
| NPI Number | 1972988350 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972988350 | NPI | - | NPPES |
| 342044001 | Medicaid | TX | |
| 342044002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 67687 (Texas) | Primary |
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