Individual
MRS. DETRA MICHELE MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W 10TH ST, DALLAS, TX 75208-4523
(469) 975-9580
Mailing address
6400 INDEPENDENCE PKWY APT 3202, PLANO, TX 75023-4051
(469) 975-9580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
04/18/2017
Last updated
03/25/2024
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