Individual
LISA MARIA MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
572 7TH SQ APT 102, VERO BEACH, FL 32962-1877
(772) 766-2129
Mailing address
572 7TH SQ APT 102, VERO BEACH, FL 32962-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH9654
FL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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