Individual
MS. PATRICIA B. MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,CS,BC, LPC, NCC
Contact information
Practice address
2618 CHAUCER DR, AUGUSTA, GA 30909-6588
(706) 373-7900
(877) 748-6950
Mailing address
2618 CHAUCER DR, AUGUSTA, GA 30909-6588
(706) 373-7900
(877) 748-6950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC002573
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN043959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006429956A
—
GA
Enumeration date
02/01/2007
Last updated
05/04/2023
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