Intrinsic Counseling and Treatment Center, Pllc
NPI #1013643857 in Fort Worth, Texas
Provider Information
- NPI Number
- 1013643857
- Entity Type
- Organization
- Organization Name
- Intrinsic Counseling and Treatment Center, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 25, 2022
- Last Updated
- Jul 25, 2022
Practice Location
- Address
- 16516 PORTERFIELD LANE
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76247-7624
- Phone
- (682) 231-1132
Authorized Official
- Name
- MR. WADE CHRISTIAN PETERSON, MA, LPC, NCC
- Title
- CEO
- Phone
- (682) 231-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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