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NPI Code Detail

MEDICARE: MRS. KENDRA MICHELE OUZENNE LCDC

MEDICARE:  MRS. KENDRA MICHELE OUZENNE  LCDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor16559TX

General Provider Information

NPI Number : 1922841055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KENDRA MICHELE OUZENNE LCDC
Provider Business Mailing Address
First Line : 29023 FOX FOUNTAIN LN
Second Line :
City : SPRING
State : TX
Zip : 77386-3097
Country : US
Telephone Number : 832-517-4328
Fax Number :
Provider Business Practice Location Address
First Line : 5440 HARVEST HILL RD
Second Line :
City : DALLAS
State : TX
Zip : 75230-1607
Country : US
Telephone Number : 832-517-4328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 06/17/2024

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Directions to “ MRS. KENDRA MICHELE OUZENNE LCDC” Practice Location

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