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Mr. M L Gladney JR., LPC
Professional Counselor in Fort Worth, Texas
NPI 1013389543

M L Gladney JR. is a Professional Counselor based in Mansfield, TX and is specialized in Professional. M L Gladney JR. practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for M L Gladney JR. is 1013389543 and holds a License No. 71641 (Texas).

The current practice location address for M L Gladney JR. is 3840 Hulen St, Fort Worth, TX and can be reached out via phone at 817-569-4300.

Location: 3840 Hulen St, Fort Worth, TX, 76063-2643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013389543
Provider Name
M L Gladney JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3840 Hulen St, Fort Worth, TX, 76063-2643
Phone Number
817-569-4300
Fax Number
Provider Enumeration Date
10/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
869LPZ 01 TX BCBS
350529901 05 TX
350529902 05 TX
institution
Provider Business Practice Location Address Details
Address
3840 Hulen St
City
Fort Worth
State
Texas
Zip
76107-7277
Phone Number
817-569-4300
Fax Number
person
Provider Business Mailing Address Details
Address
3840 Hulen St
City
Fort Worth
State
Texas
Zip
76107-7277
Phone Number
817-569-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
71641 (Texas)
Definition
Definition to come...
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