Individual
SHAQUITA DANIELLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCA
Contact information
Practice address
725 HIGHLAND AVE UNIT 100, WINSTON SALEM, NC 27101-4181
(336) 607-8523
(336) 773-0915
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12146
NC
Other
Enumeration date
03/07/2016
Last updated
07/21/2022
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