Individual
MR. CHAD CONDON MOLTANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, LPC, PHD DOCTOR
Contact information
Practice address
5048 LOVE ROAD, EL PASO, TX 79922
(915) 740-3698
Mailing address
5143 TIMBERWOLF DRIVE, EL PASO, TX 79903
(915) 248-7814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73-180
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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