Individual
CHRISTINE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8101 BOAT CLUB RD STE 160, FORT WORTH, TX 76179-3631
(817) 241-0691
Mailing address
8101 BOAT CLUB RD STE 160, FORT WORTH, TX 76179-3631
(817) 210-5925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84932
TX
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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