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Individual

DR. NINA M MOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
160 CYPRESS POINT PKWY, PALM COAST, FL 32164-8433
(904) 662-7800
Mailing address
160 CYPRESS POINT PKWY, PALM COAST, FL 32164-8433
(904) 662-7800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH6165
FL
101YM0800X
Mental Health Counselor
C.1300158
OH
101YM0800X
Mental Health Counselor
MH6165
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH6165
BOARD OF PROFESSIONAL REGULATION
FL
Enumeration date
12/28/2007
Last updated
01/25/2020
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