Individual provider · Type 1 NPI
Boisey J. Bristo Sr., LPC
Professional Counselor · Fort Worth, TX
NPI number
1225528284
Active
Practice location
6161 Amelia Ave., 1315
Fort Worth, TX 76123-2141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 75700 (TX) |
| Professional Counselor Primary | 101YP2500X | 75700 (TX) |
Professional Counselor: Definition to come...
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About NPI 1225528284
Boisey J. Bristo Sr., LPC's National Provider Identifier is 1225528284, issued on May 15, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 18, 2023.