person
Mrs. Elise Marie Mederos, MA,LPC
Professional Counselor in Fort Worth, Texas
NPI 1447439807

Elise Marie Mederos is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Elise Marie Mederos practices in Fort Worth, TX and has the professional credentials of MA,LPC. The NPI Number for Elise Marie Mederos is 1447439807 and holds a License No. 60605 (Texas).

The current practice location address for Elise Marie Mederos is 3815 Lisbon St, Fort Worth, TX and can be reached out via phone at 817-841-9110.

Location: 3815 Lisbon St, Fort Worth, TX, 76107-3941
person
Provider Profile Details
NPI Number
1447439807
Provider Name
Elise Marie Mederos
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
3815 Lisbon St, Fort Worth, TX, 76107-3941
Phone Number
817-841-9110
Fax Number
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3815 Lisbon St
City
State
Zip
76107-5601
Phone Number
817-841-9110
Fax Number
person
Provider Business Mailing Address Details
Address
3815 Lisbon St
City
State
Zip
76107-5601
Phone Number
817-841-9110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
60605 (Texas)
Definition
Definition to come...
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