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Organization
MOONSTONE HOLISTIC COUNSELING, PLLC
Active
Organization
MOONSTONE HOLISTIC COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA M ROMAN MS, LPC, RPT (CO-OWNER)
(214) 789-9025
Entity
Organization
Contact information
Practice address
1701 N COLLINS BLVD STE 140, RICHARDSON, TX 75080-3554
(214) 789-9025
Mailing address
612 LA SALLE DR, RICHARDSON, TX 75081-3510
(214) 789-9025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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