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NPI Code Detail

MEDICARE: KAMYALA HOWARD LCSW

MEDICARE: KAMYALA HOWARD LCSW
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
1101YM0800XMental Health Counselor65731TX

General Provider Information

NPI Number : 1760978928
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMYALA HOWARD LCSW
Provider Business Mailing Address
First Line : 2626 FOUNTAIN VIEW DR APT 330
Second Line :
City : HOUSTON
State : TX
Zip : 77057-2290
Country : US
Telephone Number : 612-770-4180
Fax Number :
Provider Business Practice Location Address
First Line : 3 SUGAR CREEK CENTER BLVD STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-2211
Country : US
Telephone Number : 281-827-9674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2018
Last Update Date : 07/10/2018

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Directions to “ KAMYALA HOWARD LCSW” Practice Location

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