| Distinctive Counseling And Consulting | |
|
4646 Corona Dr Ste 216 Corpus Christi TX 78411-4386 | |
| (361) 945-3084 | |
| (361) 724-3306 |
| Full Name | Distinctive Counseling And Consulting |
|---|---|
| Speciality | Counselor |
| Location | 4646 Corona Dr Ste 216, Corpus Christi, Texas |
| Authorized Official Name and Position | Jinnelle Veronique Powell (OWNER) |
| Authorized Official Contact | 3619453084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Counseling And Consulting 14729 County Road 1470 Odem TX 78370-4208 Ph: (361) 945-3084 | Distinctive Counseling And Consulting 4646 Corona Dr Ste 216 Corpus Christi TX 78411-4386 Ph: (361) 945-3084 |
| NPI Number | 1891383345 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 1153778774 |
|---|---|
| Medicare Enrollment ID | O20240205004302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891383345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jinnelle Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346588381 PECOS PAC ID: 6002263621 Enrollment ID: I20240221003838 |
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