Individual
ANNISA RAASHIDA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
6915 NORTHBURY LN APT 937, CHARLOTTE, NC 28226-8675
(757) 805-1571
Mailing address
6915 NORTHBURY LN APT 937, CHARLOTTE, NC 28226-8675
(757) 805-1571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21137
NC
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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