Individual provider · Type 1 NPI

Elise Marie Mederos, M.A., LPC

Professional Counselor · Fort Worth, TX

NPI number 1447439807 Active

Practice location

3815 Lisbon St, Suite 202
Fort Worth, TX 76107-5601

Call (817) 841-9110 Map

Mailing address

2016 Thomas Pl
Fort Worth, TX 76107-3941

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X60605 (TX)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1447439807

Elise Marie Mederos, M.A., LPC's National Provider Identifier is 1447439807, issued on Nov 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on May 5, 2016.