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Organization
MOSER FAMILY THERAPY
Active
Organization
MOSER FAMILY THERAPY
Active
Other names
Behavioral Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARK MOSER M.S.W. (DIRECTOR)
(386) 752-7116
Entity
Organization
Contact information
Practice address
343 E DUVAL ST, SUITE 101, LAKE CITY, FL 32055-4088
(386) 752-7116
(386) 752-7188
Mailing address
343 E DUVAL ST, SUITE 101, LAKE CITY, FL 32055-4088
(386) 752-7116
(386) 752-7188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1823
FL
1041C0700X
Clinical Social Worker
SW3423
FL
106H00000X
Marriage & Family Therapist
MT1085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z134B
BCBS GROUP #
FL
01
—
Z2382
BCBS IND #
FL
01
—
Z7484
BCBS IND #
FL
Enumeration date
04/20/2007
Last updated
09/21/2007
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