Individual
MR. JOSEPH GAROLD MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, RSAP-P
Contact information
Practice address
1000 HOSPITAL ROAD., PINEY RIDGE CENTER, WAYNESVILLE, MO 65583
(573) 774-5353
(573) 774-2907
Mailing address
1000 HOSPITAL ROAD., PINEY RIDGE CENTER, WAYNESVILLE, MO 65583
(573) 774-5353
(573) 774-2907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006010874
MO
Other
Enumeration date
01/14/2008
Last updated
04/21/2011
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