Individual
DANIELLE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3636 N MACARTHUR BLVD STE 160, IRVING, TX 75062-3601
(972) 375-1200
Mailing address
4159 FLORENCE DR, IRVING, TX 75038-1468
(915) 920-3875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14609
TX
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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