Individual
ANGELICA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8ABH11
BCBS
TX
Enumeration date
04/03/2013
Last updated
05/22/2013
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