person
Mr. Derek Lane Robertson, MED,LPC
Mental Health Counselor in Fort Worth, Texas
NPI 1114066321

Derek Lane Robertson is a Mental Health Counselor based in Fort Worth, TX and is specialized in Mental Health. Derek Lane Robertson practices in Fort Worth, TX and has the professional credentials of MED,LPC. The NPI Number for Derek Lane Robertson is 1114066321 and holds a License No. 14021 (Texas).

The current practice location address for Derek Lane Robertson is 516 College Ave, Fort Worth, TX and can be reached out via phone at 806-543-6585 and via fax at 817-231-0132.

Location: 516 College Ave, Fort Worth, TX, 76110-2609
person
Provider Profile Details
NPI Number
1114066321
Provider Name
Derek Lane Robertson
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
516 College Ave, Fort Worth, TX, 76110-2609
Phone Number
806-543-6585
Fax Number
817-231-0132
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1131088-04 05 TX
1131088-02 05 TX
institution
Provider Business Practice Location Address Details
Address
516 College Ave
City
State
Zip
76104-2238
Phone Number
806-543-6585
Fax Number
817-231-0132
person
Provider Business Mailing Address Details
Address
516 College Ave
City
State
Zip
76104-2238
Phone Number
806-543-6585
Fax Number
817-231-0132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14021 (Texas)
Definition
Definition to come...
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