Individual
SHANA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16112 NORTH FWY APT 1634, HOUSTON, TX 77090-5540
(832) 260-5339
Mailing address
16112 NORTH FWY APT 1634, HOUSTON, TX 77090-5540
(832) 260-5339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12752
TX
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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