NPI Profile for MICHAEL C BEARDEN in FORT WORTH, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Marriage & Family Therapist |
106H00000X | |||
Pastoral |
101YP1600X |
| NPI # | 1437450780 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 11/03/2010 | |
| Last updated | 10/25/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL C BEARDEN
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