Individual
MS. ESDA BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8700 N NORMANDALE ST, FORT WORTH, TX 76116-4843
(682) 472-5870
Mailing address
8700 N NORMANDALE ST, FORT WORTH, TX 76116-4843
(682) 472-5870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64621
TX
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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