Individual
CALLY LYNN TILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1616 PARK PLACE AVE, FORT WORTH, TX 76110-1377
(817) 921-2401
(817) 921-2401
Mailing address
1616 PARK PLACE AVE, FORT WORTH, TX 76110-1377
(817) 921-2401
(817) 921-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79894
TX
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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