Individual
MARTINA GINA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
1080 S. HWY 95A, UNIT D, SILVER SPRINGS, NV 89429
(775) 577-4633
(775) 577-9937
Mailing address
720 S. MAIN ST., SUITE C, YERINGTON, NV 89447
(775) 463-6597
(775) 463-6598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01386
NV
Other
Enumeration date
04/16/2014
Last updated
04/22/2017
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