Organization
MOSS THERAPY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDICE MOSS LLPC (OWNER)
(248) 893-7308
Entity
Organization
Contact information
Practice address
17350 W 10 MILE RD, SOUTHFIELD, MI 48075-2929
(248) 893-7308
Mailing address
PO BOX 721161, BERKLEY, MI 48072-0161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
225600000X
Dance Therapist
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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