Individual
BRENDA BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
7535 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4237
(800) 972-0643
Mailing address
6037 ARBOR BND APT 913, FORT WORTH, TX 76132-2921
(972) 697-7338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15887
TX
104100000X
Social Worker
39034
TX
Other
Enumeration date
04/23/2008
Last updated
07/12/2022
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