Individual
BROOKE NICOLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1804 GLENMORE AVE, FORT WORTH, TX 76102-1509
(817) 368-9679
Mailing address
1804 GLENMORE AVE, FORT WORTH, TX 76102-1509
(817) 368-9679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72602
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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