Laura Dianne Nutt, LPC
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1972932473
StatusActive
Last updated in NPPESOct 10, 2014
Details
- NPI
- 1972932473
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura Dianne Nutt
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2013
- Last updated
- Oct 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 68753 | TX | Yes |
Practice location
4232 Heritage Trace PkwyFort Worth, TX 76244-5375
Phone 817-484-6523 · Fax 817-447-3299
Mailing address
4232 Heritage Trace PkwyFort Worth, TX 76244-5375
Phone 817-484-6523 · Fax 817-447-3299
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