Individual
JESSICA L MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
100 CAPITOLA DR, SUITE 310, DURHAM, NC 27713-4496
(919) 474-6397
Mailing address
1600 WHEELWRIGHT PL, APT 305, CARY, NC 27519-6860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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