MR. JERRY RANDOLPH MOSES LPC NPI 1699731778

NPI Information

NPI: 1699731778
Provider Name: MR. JERRY RANDOLPH MOSES, LPC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
LANDSTHUL REGIONAL CENTER
LANDSTHUL, APO AE
ZIP 09180
Phone: 4868763
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MR. Jerry Randolph Moses, LPC is an addiction (substance use disorder) counselor in Landsthul, APO AE. MR. Jerry Randolph Moses, LPC NPI is 1699731778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

LANDSTHUL REGIONAL CENTER
LANDSTHUL, APO AE
ZIP 09180
Phone: 4868763

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2817	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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