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Individual

CHRISTINE RAGNAUTH NICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1810 8TH AVE, FORT WORTH, TX 76110-1352
(214) 702-1548
Mailing address
1911 DARTMOUTH CT, ARLINGTON, TX 76015-3214
(214) 693-6009

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79153
TX

Other

Enumeration date
10/14/2019
Last updated
01/22/2024
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