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NPI Code Detail

MEDICARE: JANA MOSER LMFT

MEDICARE:   JANA  MOSER  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist46354CA

General Provider Information

NPI Number : 1790821833
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA MOSER LMFT
Provider Business Mailing Address
First Line : PO BOX 2672
Second Line :
City : MCKINLEYVILLE
State : CA
Zip : 95519-2672
Country : US
Telephone Number : 707-498-1506
Fax Number :
Provider Business Practice Location Address
First Line : 2413 2ND ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-0811
Country : US
Telephone Number : 707-269-9590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 01/26/2015

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Directions to “ JANA MOSER LMFT” Practice Location

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