DEDRA DEHAVEN ETZEL MS LPC NPI 1588150148

NPI Information

NPI: 1588150148
Provider Name: DEDRA DEHAVEN ETZEL, MS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
16815 ROYAL CREST DR STE 160
HOUSTON, TX
ZIP 77058
Phone: (281) 407-5658
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Dedra Dehaven Etzel, MS, LPC is a professional counselor in Houston, 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:

16815 ROYAL CREST DR STE 160
HOUSTON, TX
ZIP 77058-534
Phone: (281) 407-5658

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

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
1	101YP2500X	Counselor	Professional	71234	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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