Individual
ANDREW MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
Mailing address
5 DANA LN, WEST ISLIP, NY 11795-2205
(631) 456-2503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006290-1
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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