Individual
ANKIN ANTOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71274
TX
Other
Enumeration date
05/01/2015
Last updated
12/21/2016
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