Organization
CANARY RIDGE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BEAMAN LPC (OWNER)
(817) 692-5467
Entity
Organization
Contact information
Practice address
2501 PARKVIEW DR STE 316E, FORT WORTH, TX 76102-5824
(817) 692-5467
Mailing address
2501 PARKVIEW DR STE 316E, FORT WORTH, TX 76102-5824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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