NPI 1073211843

Jeanette Lucille Moss, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Fort Dodge, IA

Practice location

Address: 211 Avenue M W, Fort Dodge, IA 50501-5789
Phone: (515) 575-7261

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 23105 (IA)

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Registry record

NPI: 1073211843
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2023
Record last updated: 21 Feb 2023

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.