Individual
JESSIE MARIE MOECIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17222 W GIBSON LN, GOODYEAR, AZ 85338-7813
(623) 261-1132
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(623) 261-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61443146
WA
101YM0800X
Mental Health Counselor
Primary
LPC-21362
AZ
Other
Enumeration date
04/14/2023
Last updated
07/07/2023
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