Individual
AUTUMN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I, 200HR RYT
Contact information
Practice address
12740 HILLCREST RD, STE 295, DALLAS, TX 75230-2038
(972) 385-7447
Mailing address
2924 BLUEFIELD RD, MESQUITE, TX 75149-1810
(214) 601-6167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75788
TX
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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