person
Lydia Medina Miller, LPC
Professional Counselor in Fort Worth, Texas
NPI 1659422152

Lydia Medina Miller is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Lydia Medina Miller practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Lydia Medina Miller is 1659422152 and holds a License No. 58677 (Texas).

The current practice location address for Lydia Medina Miller is 3840 Hulen St, Fort Worth, TX and can be reached out via phone at 817-569-4395 and via fax at 817-569-4492.

Location: 3840 Hulen St, Fort Worth, TX, 76107-7277
person
Provider Profile Details
NPI Number
1659422152
Provider Name
Lydia Medina Miller
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3840 Hulen St, Fort Worth, TX, 76107-7277
Phone Number
817-569-4395
Fax Number
817-569-4492
Provider Enumeration Date
01/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1817264-01 05 TX
institution
Provider Business Practice Location Address Details
Address
3840 Hulen St
City
State
Zip
76107-7277
Phone Number
817-569-4395
Fax Number
817-569-4492
person
Provider Business Mailing Address Details
Address
3840 Hulen St
City
State
Zip
76107-7277
Phone Number
817-569-4395
Fax Number
817-569-4492
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
58677 (Texas)
Definition
Definition to come...
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