Individual provider · Type 1 NPI

Derek Lane Robertson, M. ED., LPC

Mental Health Counselor · Fort Worth, TX

NPI number 1114066321 Active

Practice location

516 College Ave
Fort Worth, TX 76104-2238

Call (806) 543-6585 Map

Fax (817) 231-0132

Mailing address

2420 S Adams St
Fort Worth, TX 76110-2609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X14021 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1114066321

Derek Lane Robertson, M. ED., LPC's National Provider Identifier is 1114066321, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 13, 2009.