Individual provider · Type 1 NPI
David G. Miracle, MA, LPC-ASSOCIATE
Professional Counselor · Fort Worth, TX
NPI number
1750860185
Active
Practice location
1001 12th Ave # 146
Fort Worth, TX 76104-3926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13592 (TX) |
| Professional Counselor Primary | 101YP2500X | 91657 (TX) |
Professional Counselor: Definition to come...
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About NPI 1750860185
David G. Miracle, MA, LPC-ASSOCIATE's National Provider Identifier is 1750860185, issued on Aug 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 3, 2024.