Individual provider · Type 1 NPI

Autumn Moran, LPC-I, 200HR RYT

Mental Health Counselor · Dallas, TX

NPI number 1063959419 Active

Practice location

12740 Hillcrest Rd, Ste 295
Dallas, TX 75230-2038

Mailing address

2924 Bluefield Rd
Mesquite, TX 75149-1810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X75788 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1063959419

Autumn Moran, LPC-I, 200HR RYT's National Provider Identifier is 1063959419, issued on Jan 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jan 24, 2017.