Individual
DIANA CRISTINA MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCA
Contact information
Practice address
166 GLENN ALLEN RD, MOORESVILLE, NC 28115-5808
(954) 882-1030
Mailing address
166 GLENN ALLEN RD, MOORESVILLE, NC 28115-5808
(954) 882-1030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15042
NC
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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