Individual
ANTHONY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 10TH AVE N, TEXAS CITY, TX 77590-6318
(409) 939-5255
Mailing address
31 10TH AVE N, TEXAS CITY, TX 77590-6318
(409) 939-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5443
TX
101YP2500X
Professional Counselor
Primary
5443
TX
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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