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ANTHONY ALLEN MOSS
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1508172396
Individual Registrant: ANTHONY ALLEN MOSS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
304 GINA LN CHELSEA, OK 74016-1113 US
Tel: 918-519-6097 Fax: --
Tel: 918-519-6097 Fax: --
Contact information for business:
304 GINA LN CHELSEA, OK 74016-1113 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1508172396
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
