Individual
MRS. NINA MARIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
521 SW 8TH AVE, AMARILLO, TX 79101-2217
(806) 584-8214
Mailing address
521 SW 8TH AVE, AMARILLO, TX 79101-2217
(806) 584-8214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79485
TX
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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