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General NPI Number Information
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NPI Number | 1891127841
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Entity Type | Individual
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Provider Name | ALEXANDER JOHN MOGA LPCC/LMHC
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Gender | Male
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 3443 PINE RIDGE RD STE 101
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City | NAPLES
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State | FL
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Zip | 34109-3926
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Country | US
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Telephone | 239-893-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 VANDERBILT BEACH RD STE 108-521
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City | NAPLES
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State | FL
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Zip | 34109-2654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23765
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2303526
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License Number State | OH
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