Organization · Type 2 NPI

22kill

Mental Health Counselor · Fort Worth, TX

NPI number 1811524085 Active

Practice location

855 Texas St Ste 105
Fort Worth, TX 76102-4574

Mailing address

855 Texas St
Fort Worth, TX 76102-4572

Other practice locations

  • 13625 Neutron Rd, Dallas, TX 75244-4411 · (214) 462-7229

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Psychiatry Physician 2084P0800XNone listed

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1811524085

22kill's National Provider Identifier is 1811524085, issued on Mar 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 26, 2020.