Individual
JESSICA MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(800) 813-2000
Mailing address
1627 JACKSON ST APT 7, SAN FRANCISCO, CA 94109-3011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
28334
CA
Other
Enumeration date
07/25/2013
Last updated
07/08/2024
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