Organization
FRED T. MOELLER AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED T MOELLER M.H.R. (PRESIDENT)
(770) 410-5788
Entity
Organization
Contact information
Practice address
11805 NORTHFALL LANE, SUITE 804, ALPHARETTA, GA 30009
(770) 410-5788
(770) 410-4041
Mailing address
11805 NORTHFALL LANE, SUITE 804, ALPHARETTA, GA 30009
(770) 410-5788
(770) 410-4041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324771962A
—
GA
Enumeration date
04/29/2008
Last updated
09/23/2010
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