person
Mr. Laurence Saputra, LPC
Mental Health Counselor in Fort Worth, Texas
NPI 1588166755

Laurence Saputra is a Mental Health Counselor based in Fort Worth, TX and is specialized in Mental Health. Laurence Saputra practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Laurence Saputra is 1588166755 and holds a License No. 75981 (Texas).

The current practice location address for Laurence Saputra is 4232 Heritage Trace Pkwy, Fort Worth, TX and can be reached out via phone at 817-447-3001 and via fax at 817-289-5699.

Location: 4232 Heritage Trace Pkwy, Fort Worth, TX, 76244-5375
person
Provider Profile Details
NPI Number
1588166755
Provider Name
Laurence Saputra
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4232 Heritage Trace Pkwy, Fort Worth, TX, 76244-5375
Phone Number
817-447-3001
Fax Number
817-289-5699
Provider Enumeration Date
03/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4232 Heritage Trace Pkwy
City
State
Zip
76244-5375
Phone Number
817-447-3001
Fax Number
817-289-5699
person
Provider Business Mailing Address Details
Address
4232 Heritage Trace Pkwy
City
State
Zip
76244-5375
Phone Number
817-447-3001
Fax Number
817-289-5699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
75981 (Texas)
Definition
Definition to come...
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