Individual
JEANNE MOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6300
(719) 572-6399
Mailing address
2902 AIRPORT RD APT 119, COLORADO SPRINGS, CO 80910-3016
(719) 578-0213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991057
CO
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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