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Organization
KELLIE MCLARTY LPC
Active
Organization
KELLIE MCLARTY LPC
Active
Other names
Kellie McLarty LPC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE A MCLARTY M.ED. (LPC, LCDC)
(817) 296-6053
Entity
Organization
Contact information
Practice address
4200 S HULEN ST, SUITE 318, FORT WORTH, TX 76109-4914
(817) 296-6053
Mailing address
4200 HULEN ST., SUITE 318, FORT WORTH, TX 76109
(817) 296-6053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7917
TX
101YP2500X
Professional Counselor
Primary
19717
TX
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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