Individual
CHRISTINE MARIE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4200 S HULEN ST STE 682, FORT WORTH, TX 76109-7905
(817) 752-9940
Mailing address
4200 S HULEN ST STE 682, FORT WORTH, TX 76109-7905
(817) 752-9940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105505
TX
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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