| Intrinsic Counseling And Treatment Center, Pllc | |
|
16516 Porterfield Lane Fort Worth TX 76247-7624 | |
| (682) 231-1132 | |
| Not Available |
| Full Name | Intrinsic Counseling And Treatment Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16516 Porterfield Lane, Fort Worth, Texas |
| Authorized Official Name and Position | Wade Christian Peterson (CEO) |
| Authorized Official Contact | 6822311132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrinsic Counseling And Treatment Center, Pllc 16516 Porterfield Lane Fort Worth TX 76247 Ph: () - | Intrinsic Counseling And Treatment Center, Pllc 16516 Porterfield Lane Fort Worth TX 76247-7624 Ph: (682) 231-1132 |
| NPI Number | 1013643857 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013643857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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