Most Relevant Information
Provider Data
| NPI Number: | 1003447236 |
| Provider Name: | NICOLE LEONA SALLEE MS, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 79681 |
Most Important Dates
| Enumeration Date: | 01/27/2020 |
| Last Updated: | 01/27/2020 |
Provider Practice Location
201 MAIN ST FL 6
FORT WORTH
TX
761023105
Practice Location Phone/Fax
| Phone: | 8173391100 |
| Fax: |
Provider Mailing Location
3716 MULBERRY LN
BEDFORD
TX
760215120
Provider Mailing Phone/Fax
| Phone: | 6822399872 |
| Fax: |