person
Mr. Jerry Randolph Moses, LPC
Addiction (Substance Use Disorder) Counselor in Landsthul, N/A
NPI 1699731778

Jerry Randolph Moses is an Addiction (Substance Use Disorder) Counselor based in Landsthul, and is specialized in Addiction (Substance Use Disorder). Jerry Randolph Moses practices in Landsthul, and has the professional credentials of LPC. The NPI Number for Jerry Randolph Moses is 1699731778 and holds a License No. 2817 (N/A).

The current practice location address for Jerry Randolph Moses is Landsthul Regional Center, Landsthul, and can be reached out via phone at 486-876-3.

Location: Landsthul Regional Center, Landsthul, , 09180
person
Provider Profile Details
NPI Number
1699731778
Provider Name
Jerry Randolph Moses
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
Landsthul Regional Center, Landsthul, , 09180
Phone Number
486-876-3
Fax Number
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Landsthul Regional Center
City
State
Zip
09180
Phone Number
486-876-3
Fax Number
person
Provider Business Mailing Address Details
Address
Landsthul Regional Center
City
State
Zip
09180
Phone Number
486-876-3
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2817 (North Carolina)
Definition
Definition to come...
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