person
Mr. Ezio Da Rosa Leite, LPC
Professional Counselor in Fort Worth, Texas
NPI 1053435933

Ezio Da Rosa Leite is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Ezio Da Rosa Leite practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Ezio Da Rosa Leite is 1053435933 and holds a License No. 08674 (Texas).

The current practice location address for Ezio Da Rosa Leite is 301 W Rosedale St, Fort Worth, TX and can be reached out via phone at 817-338-4471 and via fax at 817-338-1811.

Location: 301 W Rosedale St, Fort Worth, TX, 76104-4857
person
Provider Profile Details
NPI Number
1053435933
Provider Name
Ezio Da Rosa Leite
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
301 W Rosedale St, Fort Worth, TX, 76104-4857
Phone Number
817-338-4471
Fax Number
817-338-1811
Provider Enumeration Date
03/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025678602 05 TX
177792201 05 TX
0256786-03 05 TX
institution
Provider Business Practice Location Address Details
Address
301 W Rosedale St
City
State
Zip
76104-4857
Phone Number
817-338-4471
Fax Number
817-338-1811
person
Provider Business Mailing Address Details
Address
301 W Rosedale St
City
State
Zip
76104-4857
Phone Number
817-338-4471
Fax Number
817-338-1811
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
08674 (Texas)
Definition
Definition to come...
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