| Andrea Harbaugh Lpc Pa | |
|
3840 Hulen St Suite 602 Fort Worth TX 76107-7277 | |
| (817) 735-4165 | |
| (817) 735-4688 |
| Full Name | Andrea Harbaugh Lpc Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3840 Hulen St, Fort Worth, Texas |
| Authorized Official Name and Position | Andrea D Harbaugh (PRESIDENT) |
| Authorized Official Contact | 8177354165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Harbaugh Lpc Pa 3840 Hulen St Suite 602 Fort Worth TX 76107-7277 Ph: (817) 735-4165 | Andrea Harbaugh Lpc Pa 3840 Hulen St Suite 602 Fort Worth TX 76107-7277 Ph: (817) 735-4165 |
| NPI Number | 1467699652 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467699652 | NPI | - | NPPES |
| 146244201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 15280 (Texas) | Primary |
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