Individual provider · Type 1 NPI

Issac Justin Connie, M A, LPC

Professional Counselor · Fort Worth, TX

NPI number 1619100427 Active

Practice location

1220 W Presidio St
Fort Worth, TX 76102-4512

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X63446 (TX)

Professional Counselor: Definition to come...

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About NPI 1619100427

Issac Justin Connie, M A, LPC's National Provider Identifier is 1619100427, issued on Aug 26, 2009. 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 26, 2009.