Sally K. Moseley, Lpc, P.a.

NPI #1609088301 in Longview, Texas

Provider Information

NPI Number: 1609088301
Entity Type: Organization
Organization Name: Sally K. Moseley, Lpc, P.a.
Primary Specialty: Counselor - Professional
Enumeration Date: May 4, 2007
Last Updated: Jun 3, 2008

Practice Location

Address: 1800 W LOOP 281
Address 2: SUITE 207
City: Longview
State: Texas
ZIP Code: 75604-2568
Phone: (903) 297-4592

Authorized Official

Name: SALLY K MOSELEY, LPC
Title: OWNER
Phone: (903) 297-4592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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