person
Mary Bassett Costas, LPC
Professional Counselor in Fort Worth, Texas
NPI 1578785663

Mary Bassett Costas is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Mary Bassett Costas practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Mary Bassett Costas is 1578785663 and holds a License No. 11965 (Texas).

The current practice location address for Mary Bassett Costas is 3815 Lisbon St, Fort Worth, TX and can be reached out via phone at 817-738-4660 and via fax at 817-738-4773.

Location: 3815 Lisbon St, Fort Worth, TX, 76107-5601
person
Provider Profile Details
NPI Number
1578785663
Provider Name
Mary Bassett Costas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3815 Lisbon St, Fort Worth, TX, 76107-5601
Phone Number
817-738-4660
Fax Number
817-738-4773
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3815 Lisbon St
City
State
Zip
76107-5601
Phone Number
817-738-4660
Fax Number
817-738-4773
person
Provider Business Mailing Address Details
Address
3815 Lisbon St
City
State
Zip
76107-5601
Phone Number
817-738-4660
Fax Number
817-738-4773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11965 (Texas)
Definition
Definition to come...
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