Christopher Daniel Cortez, LPC

Individual provider Active NPI Professional Counselor · Converse, TX

NPI 1861945982 · NPPES record last updated Jul 25, 2016

Key facts

NPI
1861945982
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
72739 (TX)
Practice address
101 Peaceful LN
Converse, TX 78109-1007
Phone
(210) 248-9077
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
72739TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72739 TX Yes

Addresses

Primary practice location

101 Peaceful LN
Converse, TX 78109-1007

Mailing address

101 Peaceful LN
Converse, TX 78109-1007
Phone (210) 248-9077

Other providers in Converse, TX

All providers in Converse, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.