Individual
MRS. APRIL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
304 E. MAIN AVE., AVA, MO 65608
(417) 251-2107
Mailing address
504 E BROADWAY AVE, AVA, MO 65608-5670
(417) 251-2107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
6802089208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462371
—
MI
Enumeration date
01/30/2017
Last updated
11/22/2022
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