Individual
PATRICIA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.991818
OH
Other
Enumeration date
05/11/2017
Last updated
11/24/2020
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