Healthcare Provider Details

I. General information

NPI: 1639654783
Provider Name (Legal Business Name): JOCELYN R. MOSSER LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 DRY POND RD
MARSHALL NC
28753-5303
US

IV. Provider business mailing address

1191 DRY POND RD
MARSHALL NC
28753-5303
US

V. Phone/Fax

Practice location:
  • Phone: 828-335-1954
  • Fax: 828-398-4222
Mailing address:
  • Phone: 828-335-1954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA14167
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA14167
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: