Individual
SUMMER LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2630 WEST FWY STE 120, FORT WORTH, TX 76102-7117
(817) 480-6094
Mailing address
4417 CHAPARRAL CT, ALVARADO, TX 76009-8596
(817) 480-6094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96575
TX
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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