Individual
ANDREY YUREIVICH MOISEYEV III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
100 SAW MILL RD, LAFAYETTE, IN 47905-5592
(765) 742-4848
(765) 477-9905
Mailing address
330 FOUNTAIN ST, P.O. BOX 1186, 47902, LAFAYETTE, IN 47901-1731
(765) 742-5046
(765) 477-9905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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