Individual provider · Type 1 NPI

Christina Lacivita

Addiction (Substance Use Disorder) Counselor · Fort Worth, TX

NPI number 1669005245 Active

Practice location

6115 Camp Bowie Blvd Ste 220
Fort Worth, TX 76116-5543

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X64317 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669005245

Christina Lacivita's National Provider Identifier is 1669005245, issued on Feb 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 21, 2020.