Individual
AMANDA DIANE MOONEY-MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2039 S WHEELER ST, JASPER, TX 75951-5603
(281) 766-9841
Mailing address
970 OGDEN ST, JASPER, TX 75951-3434
(409) 420-2517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77065
TX
Other
Enumeration date
07/29/2020
Last updated
03/24/2025
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