Provider Demographics
NPI:1104541689
Name:HOWARD, UNA DORETTE (MA, LPC-A)
Entity type:Individual
Prefix:
First Name:UNA
Middle Name:DORETTE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 PINE ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-3951
Mailing Address - Country:US
Mailing Address - Phone:214-470-6629
Mailing Address - Fax:
Practice Address - Street 1:3207 PINE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-3951
Practice Address - Country:US
Practice Address - Phone:214-470-6629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health