Individual
MS. SHANTELL MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
7400 HANCOCK CT NE STE D, ALBUQUERQUE, NM 87109-4592
(817) 448-1635
Mailing address
3852 GERMAN POINTER WAY, FORT WORTH, TX 76123-3500
(181) 744-8163
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-CTL0221321
NM
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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