Individual
HEATHER SHAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
159 N RIVERSIDE DR, FORT WORTH, TX 76111-3911
(817) 338-4471
(817) 338-1811
Mailing address
159 N RIVERSIDE DR, FORT WORTH, TX 76111-3911
(817) 338-4471
(817) 338-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
62088
TX
106H00000X
Marriage & Family Therapist
200933
TX
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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