Individual provider · Type 1 NPI

Natalie Waller Bouffard-Lewis, M.S., LPC

Professional Counselor · Fort Worth, TX

NPI number 1063960607 Active

Practice location

6100 Western Pl, Ste 408
Fort Worth, TX 76107-4600

Mailing address

4224 SW Loop 820
Fort Worth, TX 76109-5350

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X73051 (TX)

Professional Counselor: Definition to come...

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About NPI 1063960607

Natalie Waller Bouffard-Lewis, M.S., LPC's National Provider Identifier is 1063960607, issued on Sep 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 6, 2016.