Individual
COURTNEY S MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
6972 TERRY ST, ANCHORAGE, AK 99502-2751
(270) 875-0886
Mailing address
6972 TERRY ST, ANCHORAGE, AK 99502-2751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168640
KY
1041C0700X
Clinical Social Worker
Primary
3374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100364240
—
KY
Enumeration date
01/11/2007
Last updated
11/08/2025
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