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NPI Code Detail

MEDICARE: ABBIE BURTON MOSSING LCPC

MEDICARE: ABBIE BURTON MOSSING LCPC
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
1101YM0800XMental Health CounselorCC7805ME

General Provider Information

NPI Number : 1578345336
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE BURTON MOSSING LCPC
Provider Business Mailing Address
First Line : 66 STONE ST
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5227
Country : US
Telephone Number : 888-832-2213
Fax Number : 207-626-7597
Provider Business Practice Location Address
First Line : 66 STONE ST
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5227
Country : US
Telephone Number : 888-322-2136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 04/17/2026

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Directions to “ ABBIE BURTON MOSSING LCPC” Practice Location

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