Individual
MS. CAROL A HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Contact information
Practice address
3401 BRISTOL RD, FT WORTH, TX 76107
(817) 336-7677
(817) 336-8729
Mailing address
3401 BRISTOL RD, FT WORTH, TX 76107
(817) 336-7677
(817) 336-8729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LMFT516
TX
103T00000X
Psychologist
Primary
LPC10461
TX
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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