Individual
ALYSSA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Mailing address
300 MEDICAL DR, HAMPTON, VA 23666-1765
(757) 788-0092
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701006312
VA
101YP2500X
Professional Counselor
Primary
0701006312
VA
Other
Enumeration date
09/04/2015
Last updated
03/23/2020
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