Individual
HALLE GRACE DETRIXHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 WYCLIFF AVE APT 2311, DALLAS, TX 75219-6652
(310) 213-7574
Mailing address
2929 WYCLIFF AVE APT 2311, DALLAS, TX 75219-6652
(310) 213-7574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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