Individual
BRAD B MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH7813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z064R
BLUECROSS BLUESHIELD
FL
Enumeration date
08/29/2006
Last updated
07/08/2007
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