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NPI Code Detail

MEDICARE: MRS. CLARISSA A MORALES LPC

MEDICARE: MRS. CLARISSA A MORALES LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor62518TX

General Provider Information

NPI Number : 1457579278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLARISSA A MORALES LPC
Provider Business Mailing Address
First Line : 4701 SAMUELL BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75228-6828
Country : US
Telephone Number : 214-381-7070
Fax Number : 214-381-1757
Provider Business Practice Location Address
First Line : 4701 SAMUELL BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75228-6828
Country : US
Telephone Number : 214-275-7393
Fax Number : 214-381-1667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 12/08/2025

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