Individual
CAROLINA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2831 ELLIS AVE, FORT WORTH, TX 76106-7105
(817) 626-6401
(844) 360-9227
Mailing address
PO BOX 4772, FORT WORTH, TX 76164-0772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83294
TX
Other
Enumeration date
09/14/2021
Last updated
09/27/2021
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