Organization
KHARVENA MOSS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHARVENA D MOSS (MARRIAGE AND FAMILY THERAPIST)
(951) 500-5777
Entity
Organization
Contact information
Practice address
5053 LA MART DR STE 105, RIVERSIDE, CA 92507-5993
(951) 500-5777
Mailing address
5053 LA MART DR STE 105, RIVERSIDE, CA 92507-5993
(951) 500-5777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
91939
CA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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