person
Mrs. Connie B Moulder, LPC
Mental Health Counselor in Fort Worth, Texas
NPI 1134299936

Connie B Moulder is a Mental Health Counselor based in Keller, TX and is specialized in Mental Health. Connie B Moulder practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Connie B Moulder is 1134299936 and holds a License No. 14850 (Texas).

The current practice location address for Connie B Moulder is 3800 Sandshell Dr, Fort Worth, TX and can be reached out via phone at 817-205-3788 and via fax at 817-741-5549.

Location: 3800 Sandshell Dr, Fort Worth, TX, 76244-9559
person
Provider Profile Details
NPI Number
1134299936
Provider Name
Connie B Moulder
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3800 Sandshell Dr, Fort Worth, TX, 76244-9559
Phone Number
817-205-3788
Fax Number
817-741-5549
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP0043168 05 TX
institution
Provider Business Practice Location Address Details
Address
3800 Sandshell Dr
City
State
Zip
76137-2429
Phone Number
817-205-3788
Fax Number
817-741-5549
person
Provider Business Mailing Address Details
Address
3800 Sandshell Dr
City
State
Zip
76137-2429
Phone Number
817-205-3788
Fax Number
817-741-5549
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14850 (Texas)
Definition
Definition to come...
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