Individual
MR. CAMERON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
19045 N DALE MABRY HWY, LUTZ, FL 33548-4982
(813) 347-6886
Mailing address
19045 N DALE MABRY HWY, LUTZ, FL 33548-4982
(813) 347-6886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH25724
FL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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