Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP2500X | Professional Counselor | 67363 | TX |
NPI | 1003172677 |
---|---|
Provider Name | Terri Kurpgeweit |
First Address | San Antonio, TX 78246-0173 |
Second Address | San Antonio, TX 78216-4936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2012 |
Last Update Date | 19/08/2013 |