Individual
ANGELICA TIBECA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
600 W 6TH ST, FORT WORTH, TX 76102-3684
(682) 258-6756
Mailing address
1017 DUANE DR, AZLE, TX 76020-1929
(915) 974-0043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PRE-LICENSE
TX
101YM0800X
Mental Health Counselor
Primary
PRE-LICENSED
TX
Other
Enumeration date
06/21/2024
Last updated
04/29/2025
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