Organization
COWTOWN CHRISTIAN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PETERSON LPC (THERAPIST)
(682) 438-7154
Entity
Organization
Contact information
Practice address
1751 RIVER RUN STE 242, FORT WORTH, TX 76107-6645
(682) 438-7154
Mailing address
5589 RED CARDINAL LN, FORT WORTH, TX 76114-3620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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