Individual
JODY L MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCPC
Contact information
Practice address
314 N 1ST ST W, UPPER, MISSOULA, MT 59802-3626
(406) 529-5849
(406) 728-5178
Mailing address
PO BOX 8028, MISSOULA, MT 59807-8028
(406) 529-5849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1509
MT
Other
Enumeration date
11/30/2010
Last updated
10/11/2012
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