Individual provider · Type 1 NPI

Blake Overstreet

Professional Counselor · Fort Worth, TX

NPI number 1073313755 Active

Practice location

1814 8th Ave
Fort Worth, TX 76110-1354

Mailing address

105 Vineyard St
Weatherford, TX 76087-7949

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X92524 (TX)

Professional Counselor: Definition to come...

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About NPI 1073313755

Blake Overstreet's National Provider Identifier is 1073313755, issued on Mar 13, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 13, 2025.