Individual provider · Type 1 NPI
Lydia Medina Miller, LPC
Professional Counselor · Fort Worth, TX
NPI number
1659422152
Active
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Fax (817) 569-4492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 58677 (TX) |
Professional Counselor: Definition to come...
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About NPI 1659422152
Lydia Medina Miller, LPC's National Provider Identifier is 1659422152, issued on Jan 13, 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 Jul 15, 2014.