Individual
DEJANAY RENA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17900 MOUND RD APT 7106, CYPRESS, TX 77433-1149
(832) 489-7648
Mailing address
17900 MOUND RD APT 7106, CYPRESS, TX 77433-1149
(832) 489-7648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101305
TX
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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