Individual
MRS. CHERYL A MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1800 E DEBBIE LN, MANSFIELD, TX 76063-3336
(817) 723-9309
Mailing address
1308 WESTRIDGE DR, MANSFIELD, TX 76063-6755
(817) 723-9309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60309
TX
101YM0800X
Mental Health Counselor
Primary
60309
TX
101YP2500X
Professional Counselor
60309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188195
—
TX
Enumeration date
11/11/2009
Last updated
09/07/2011
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