NPI 1003473026

Gregory P Moody, LADC

Practitioner Counselor Presque Isle, ME

Practice location

Address: 180 Academy St STE 2, Presque Isle, ME 04769-3183
Phone: (207) 764-3319
Fax: (207) 768-5377
Mailing address: 180 Academy St STE 3, Presque Isle, ME 04769-3183

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LC7576 (ME)

Other Counselor providers in Maine →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence CAC6402 (ME)

Registry record

NPI: 1003473026
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2019
Record last updated: 27 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.