Detrae Warren, LPC

NPI 1992207856 · on the registry since 2018 · sole proprietor

Practice

Address: 1307 8th Ave Ste 310
Fort Worth, TX 76104
Phone: (817) 851-2042
Organisation at this address: Idmdtx, Pllc
Lee-Shah Lllp
Vma Partners Llc
Owen C. Dewitt, Md
Alliance Kids Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas