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Sally K. Moseley, Lpc, P.a.
Professional Counselor in Longview, Texas
NPI 1609088301

Sally K. Moseley, Lpc, P.a. is a Professional Counselor based in Longview, TX and is specialized in Professional. Sally K. Moseley, Lpc, P.a. practices in Longview, TX. The NPI Number for Sally K. Moseley, Lpc, P.a. is 1609088301 and holds a License No. 14242 (Texas).

The current practice location address for Sally K. Moseley, Lpc, P.a. is 1800 W Loop 281, Longview, TX and can be reached out via phone at 903-297-4592.

Location: 1800 W Loop 281, Longview, TX, 75604-2568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609088301
Provider Name
Sally K. Moseley, Lpc, P.a.
Credential
Provider Entity Type
Organization
Address
1800 W Loop 281, Longview, TX, 75604-2568
Phone Number
903-297-4592
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013006113 01 NPI INDIVIDUAL
028712001 05 TX
19GT 01 TX BLUE CROSS BLUE SHIELD
84049L 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1800 W Loop 281
City
Longview
State
Texas
Zip
75604-2568
Phone Number
903-297-4592
Fax Number
person
Provider Business Mailing Address Details
Address
1800 W Loop 281
City
Longview
State
Texas
Zip
75604-2568
Phone Number
903-297-4592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
14242 (Texas)
Definition
Definition to come...
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