Individual
BLESSING DIVINE BOAMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(469) 294-9075
Mailing address
8413 MUIRWOOD TRL, FORT WORTH, TX 76137-4945
(817) 948-6351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35033220
DPS
TX
Enumeration date
03/08/2022
Last updated
03/08/2022
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