Individual
DEEDRA RENE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW LCSW
Contact information
Practice address
3315 ZEPHYR GLEN WAY, HOUSTON, TX 77084-7093
(832) 778-0276
Mailing address
3315 ZEPHYR GLEN WAY, HOUSTON, TX 77084-7093
(832) 778-0276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63840
LCSW LICENSE NUMBER
TX
Enumeration date
03/23/2021
Last updated
03/23/2021
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