Individual
GARY DARRYL MOSLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLADC -1481NE.
Contact information
Practice address
TAMARAK BUILDING SUITE 101 G, 3035 HARNEY STREET, OMAHA, NE 68131-3500
(531) 389-8110
(531) 484-2781
Mailing address
4206 N 94TH ST, OMAHA, NE 68134-3948
(402) 298-0136
(531) 484-2781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PLADC1481
NE
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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