Individual
DR. DIANA ALICE MOSER-BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
2923 S TRYON ST, SUITE 220, CHARLOTTE, NC 28203-5852
(704) 256-4893
Mailing address
1211 APPLEGATE PKWY, WAXHAW, NC 28173-6726
(757) 285-0565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104058
—
NC
Enumeration date
10/01/2008
Last updated
02/01/2012
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