Individual
CHANNING MORAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73393
TX
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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