Individual provider · Type 1 NPI
Brisa Celeste Coronado Torres, LPC
Professional Counselor · Waco, TX
NPI number
1891577219
Active
Practice location
1600 Lake Air Dr # 121
Waco, TX 76710-2904
Mailing address
4300 W Waco Dr Ste B2-238
Waco, TX 76710-7010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Professional Counselor | 101YP2500X | 84892 (TX) |
Professional Counselor: Definition to come...
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About NPI 1891577219
Brisa Celeste Coronado Torres, LPC's National Provider Identifier is 1891577219, issued on Oct 19, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waco, TX. The record was last updated on Oct 19, 2023.