Individual
MS. JUDY PRICER MATHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 A KENNEDALE SUBLETT RD, KENNEDALE, TX 76060
(817) 483-0020
(817) 572-6676
Mailing address
6616 ST. JOHNS DR., APT. 1002, FORT WORTH, TX 76132-2716
(817) 891-3268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC13419
TX
101YP2500X
Professional Counselor
13419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011545
AMERIGROUP
TX
05
—
1586604
—
TX
01
—
175463
MHN
KY
01
—
21751114
UNITED HEALTHCARE
UT
01
—
2200770
CIGNA
MN
01
—
234449
COM PSYCH
IL
01
—
550010006887
PACIFICARE
CA
01
—
586314000
MAGELLAN
MO
01
—
7228540
AETNA
TX
01
—
76060A003
TRICARE
SC
01
—
83738L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/08/2006
Last updated
09/07/2017
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