Individual
KIMBERLY KRISTEN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1240 KIELDER CIR, FORT WORTH, TX 76134-4515
(325) 829-4659
Mailing address
1240 KIELDER CIR, FORT WORTH, TX 76134-4515
(325) 829-4659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
71241
TX
101YM0800X
Mental Health Counselor
71241
TX
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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