KENNETH CARLISLE

FORT WORTH, TX
NPI1306738901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-07-17
Last Update Date2025-07-17
Business Address
KENNETH CARLISLE
5201 MCCART AVE STE H
FORT WORTH, TX 76115-3700
Phone number: 817-761-7692
Mailing Address
KENNETH CARLISLE
5201 MCCART AVE STE H
FORT WORTH, TX 76115-3700
Phone number: 817-761-7692