person
Nan Moss, LCPC,LPC
Mental Health Counselor in Fruitland, Idaho
NPI 1215060538

Nan Moss is a Mental Health Counselor based in Ontario, ID and is specialized in Mental Health. Nan Moss practices in Fruitland, ID and has the professional credentials of LCPC,LPC. The NPI Number for Nan Moss is 1215060538 and holds a License No. C1279 (Idaho).

The current practice location address for Nan Moss is 1509 N Whitley Dr Ste 11, Fruitland, ID and can be reached out via phone at 541-212-3151 and via fax at 208-452-1232. You can also correspond with Nan Moss through the mailing address at PO BOX 971, ONTARIO, OR - 97914-0971 (mailing address contact number: 541-212-3151).

Location: 1509 N Whitley Dr Ste 11, Fruitland, ID, 97914-0971
person
Provider Profile Details
NPI Number
1215060538
Provider Name
Nan Moss
Credential
LCPC,LPC
Provider Entity Type
Individual
Gender
Female
Address
1509 N Whitley Dr Ste 11, Fruitland, ID, 97914-0971
Phone Number
541-212-3151
Fax Number
208-452-1232
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1509 N Whitley Dr Ste 11
City
State
Zip
83619-2260
Phone Number
541-212-3151
Fax Number
208-452-1232
person
Provider Business Mailing Address Details
Address
1509 N Whitley Dr Ste 11
City
State
Zip
83619-2260
Phone Number
541-212-3151
Fax Number
208-452-1232
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1279 (Oregon)
Definition
Definition to come...
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