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NPI Code Detail

MEDICARE: KENNA SUE HOWELL

MEDICARE:   KENNA SUE HOWELL
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
1101YP2500XProfessional Counselor82537TX

General Provider Information

NPI Number : 1992460349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNA SUE HOWELL
Provider Business Mailing Address
First Line : 4412 QUAIL HOLLOW RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-6736
Country : US
Telephone Number : 167-823-2274
Fax Number : 817-762-7979
Provider Business Practice Location Address
First Line : 4412 QUAIL HOLLOW RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-6736
Country : US
Telephone Number : 167-823-2274
Fax Number : 817-762-7979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2021
Last Update Date : 11/01/2021

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Directions to “ KENNA SUE HOWELL ” Practice Location

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