Individual
MISS COURTNEY MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, LPC
Contact information
Practice address
1810 8TH AVE STE B, FORT WORTH, TX 76110-1352
(682) 207-6682
Mailing address
4012 COTTAGE PARK CT, ARLINGTON, TX 76013-8087
(417) 343-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75449
TX
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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