Individual provider · Type 1 NPI

Jeremy Adam Lelek, PhD

Professional Counselor · Fort Worth, TX

NPI number 1780214106 Active

Practice location

2501 Parkview Dr Ste 220
Fort Worth, TX 76102-5824

Call (817) 571-4110 Map

Mailing address

PO Box 126558
Fort Worth, TX 76126-6558

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X18370 (TX)

Professional Counselor: Definition to come...

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About NPI 1780214106

Jeremy Adam Lelek, PhD's National Provider Identifier is 1780214106, issued on Jan 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 24, 2020.