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Leon Mark Chamberlin, LPC
Professional Counselor in Fort Worth, Texas
NPI 1174822092

Leon Mark Chamberlin is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Leon Mark Chamberlin practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Leon Mark Chamberlin is 1174822092 and holds a License No. 63871 (Texas).

The current practice location address for Leon Mark Chamberlin 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, 76113-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174822092
Provider Name
Leon Mark Chamberlin
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3840 Hulen St, Fort Worth, TX, 76113-2603
Phone Number
817-569-4300
Fax Number
Provider Enumeration Date
03/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8142LL 01 TX BLUE CROSS BLUE SHIELD
219906903 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.
63871 (Texas)
Definition
Definition to come...
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