Individual
MR. JUSTIN CHARLES MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
7150 CAMPUS DR STE 120, COLORADO SPRINGS, CO 80920-3100
(719) 278-5454
Mailing address
7150 CAMPUS DR STE 120, COLORADO SPRINGS, CO 80920-3100
(719) 278-5454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0011755
CO
101YM0800X
Mental Health Counselor
LPC0011755
CO
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LPC.0011755
CO
Other
Enumeration date
11/18/2009
Last updated
03/17/2022
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