Individual provider · Type 1 NPI
Halle Grace Detrixhe
Mental Health Counselor · Dallas, TX
NPI number
1053162545
Active
Practice location
2929 Wycliff Ave Apt 2311
Dallas, TX 75219-6652
Other practice locations
- 920 18th St Apt 1, Santa Monica, CA 90403-3253 · (310) 850-3787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053162545
Halle Grace Detrixhe's National Provider Identifier is 1053162545, issued on Apr 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Apr 1, 2024.