Wilmarys Mora, M.S LPA
Counselor, Mental Health in Tyler, TX. Individual provider (NPI-1).
NPI number1790338192
StatusActive
Last updated in NPPESJul 24, 2019
Details
- NPI
- 1790338192
- Entity type
- Individual (NPI-1)
- Name
- Wilmarys Mora
- Credential
- M.S LPA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2019
- Last updated
- Jul 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 38268 | TX | Yes |
Practice location
1404 Rice Rd Ste 300Tyler, TX 75703-3621
Phone 903-258-6008
Mailing address
3514 Melanie CtTyler, TX 75707-1666
Phone 903-920-9997
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