Individual
AVERY MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2548 RED MAPLE LN, HARRISBURG, NC 28075-4506
(973) 405-8192
Mailing address
2548 RED MAPLE LN, HARRISBURG, NC 28075-4506
(973) 405-8192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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