Individual
DAKOTA B PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3200 SANGUINET ST, FORT WORTH, TX 76107-5355
(817) 255-2667
Mailing address
145 DIVISION ST, BOYD, TX 76023-5301
(641) 420-9941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
103894
TX
Other
Enumeration date
05/07/2018
Last updated
04/12/2024
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