# MISSY MOSS, LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659878361
- **Authorized official:** MS. MELISSA MAE MOSS LCSW (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (435) 760-0753

## Contact information

- **Practice address:** 965 S MAIN ST STE 5, CEDAR CITY, UT 84720-4309
- **Practice address phone:** (435) 760-0753
- **Mailing address:** 965 S MAIN ST STE 5, CEDAR CITY, UT 84720-4309
- **Mailing address phone:** (435) 760-0753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 7133656-3501 | UT | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 04/09/2018