Individual
JAMIE SAM MOSKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
4600 SHOALWOOD AVE, AUSTIN, TX 78756-2919
(310) 617-1223
Mailing address
4600 SHOALWOOD AVE, AUSTIN, TX 78756-2919
(310) 617-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94753
TX
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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