Most Relevant Information
Provider Data
| NPI Number: | 1003210113 |
| Provider Name: | JESSICA BATTS MA, LCDC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 12362 |
Most Important Dates
| Enumeration Date: | 10/17/2014 |
| Last Updated: | 12/14/2015 |
Provider Practice Location
5601 BRIDGE ST
STE. 300
FORT WORTH
TX
761122384
Practice Location Phone/Fax
| Phone: | 6822928413 |
| Fax: |
Provider Mailing Location
5601 BRIDGE ST
STE. 300
FORT WORTH
TX
761122384
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |