Individual
JOHN MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4027 BIRCH LN, FAIRBANKS, AK 99709-3517
(907) 888-7012
Mailing address
4027 BIRCH LN, FAIRBANKS, AK 99709-3517
(907) 888-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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