Individual
MRS. AUDREY MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHP
Contact information
Practice address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Mailing address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM0801X
—
IL
Enumeration date
07/24/2018
Last updated
07/24/2018
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