Individual provider · Type 1 NPI
Charles Henry Lavine, LPC-S
Mental Health Counselor · Fort Worth, TX
NPI number
1447482641
Active
Practice location
2701 Burchill Rd N
Fort Worth, TX 76105-3012
Fax (817) 536-1556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 13146 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1447482641
Charles Henry Lavine, LPC-S's National Provider Identifier is 1447482641, issued on Aug 20, 2009. 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 Aug 20, 2009.