Organization
AUTHENTIC COUNSELING AND COACHING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BECKER JONATITIS LPC (DIRECTOR OF CLINICAL SERVICES)
(214) 886-4872
Entity
Organization
Contact information
Practice address
3309 WINTHROP AVE, 100, FORT WORTH, TX 76116-5614
(214) 886-4872
Mailing address
8628 PAPER BIRCH LN, FORT WORTH, TX 76123-5058
(214) 886-4872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12258
TX
1041C0700X
Clinical Social Worker
Primary
55023
TX
Other
Enumeration date
05/07/2014
Last updated
04/21/2020
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