Individual
JOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMFT
Contact information
Practice address
4917 GOLDEN TRIANGLE BLVD STE 441, FORT WORTH, TX 76244-4673
(817) 201-2444
Mailing address
5845 SHADYDELL DR, FORT WORTH, TX 76135-2082
(936) 499-6334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204745
TX
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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