DEDRA DEHAVEN ETZEL MS LPC NPI 1588150148

NPI Information

  • NPI: 1588150148
  • Provider Name: DEDRA DEHAVEN ETZEL, MS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 105 SHADWELL WAY
    FRIENDSWOOD, TX
    ZIP 77546
  • Phone: (832) 463-4545

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NPI Details

Dedra Dehaven Etzel, MS, LPC is a professional counselor in Friendswood, TX. Dedra Dehaven Etzel, MS, LPC NPI is 1588150148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 SHADWELL WAY
FRIENDSWOOD, TX
ZIP 77546-801
Phone: (832) 463-4545

The enumeration date for this NPI number is 7/7/2018 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional71234TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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