DETRAE EUGENE WARREN

FORT WORTH, TX
NPI1992207856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  68544)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
DETRAE EUGENE WARREN LPC
1307 8TH AVE STE 310
FORT WORTH, TX 76104-4140
Phone number: 817-851-2042
Mailing Address
DETRAE EUGENE WARREN LPC
3704 GRIGGS AVE
FORT WORTH, TX 76119-2018
Phone number: 817-565-6417