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Organization

CHISHOLM TRAIL E-THERAPY AND COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE SKYTA LPC (OWNER / LPC)
(682) 231-1725
Entity
Organization

Contact information

Practice address
5025 CHISHOLM VIEW DR, FORT WORTH, TX 76123-1576
(772) 267-8219
Mailing address
5025 CHISHOLM VIEW DR, FORT WORTH, TX 76123-1576
(772) 267-8219

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
04/06/2020
Last updated
01/05/2021
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