Individual provider · Type 1 NPI

Detrae Eugene Warren, LPC

Professional Counselor · Fort Worth, TX

NPI number 1992207856 Active

Practice location

1307 8th Ave Ste 310
Fort Worth, TX 76104-4140

Call (817) 851-2042 Map

Mailing address

3704 Griggs Ave
Fort Worth, TX 76119-2018

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X68544 (TX)

Professional Counselor: Definition to come...

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About NPI 1992207856

Detrae Eugene Warren, LPC's National Provider Identifier is 1992207856, issued on Mar 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 6, 2018.