Individual
MR. BARNEY HISANAGA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
(817) 332-6489
Mailing address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
(817) 332-6489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S00414
TX
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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