Individual
CHERYLYNN ANDRES MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAT
Contact information
Practice address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
(503) 216-6662
(503) 216-1101
Mailing address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
(503) 216-6662
(503) 216-1101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C6535
OR
101YP2500X
Professional Counselor
Primary
C6535
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-355
ART THERAPY CREDENTIALS BOARD
—
01
—
R5811
PROFESSIONAL COUNSELING REGISTERED INTERN
OR
01
—
T-10217775
LICENSED ART THERAPIST
OR
Enumeration date
01/29/2019
Last updated
09/30/2024
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