| New Frontier Counseling | |
|
3716 Wilkie Way Fort Worth TX 76133-2928 | |
| (817) 913-1724 | |
| Not Available |
| Full Name | New Frontier Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3716 Wilkie Way, Fort Worth, Texas |
| Authorized Official Name and Position | Leon Mark Chamberlin (OWNER) |
| Authorized Official Contact | 8179131724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Frontier Counseling 3716 Wilkie Way Fort Worth TX 76133-2928 Ph: (817) 913-1724 | New Frontier Counseling 3716 Wilkie Way Fort Worth TX 76133-2928 Ph: (817) 913-1724 |
| NPI Number | 1487065363 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487065363 | NPI | - | NPPES |
| 219906903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63871 (Texas) | Primary |
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