Individual provider · Type 1 NPI

Mallory Brooke Peterman, LPC-A

Professional Counselor · Fort Worth, TX

NPI number 1427752500 Active

Practice location

1751 River Run Ste 200
Fort Worth, TX 76107-6670

Call (817) 201-0885 Map

Mailing address

424 Lovelock Dr
Fort Worth, TX 76108-7709

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X87951 (TX)

Professional Counselor: Definition to come...

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About NPI 1427752500

Mallory Brooke Peterman, LPC-A's National Provider Identifier is 1427752500, issued on Mar 30, 2023. 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 30, 2023.