Heather Moser, LMAC, LAPC
Counselor, Addiction (Substance Use Disorder) in Mandan, ND. Individual provider (NPI-1).
NPI number1407618010
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1407618010
- Entity type
- Individual (NPI-1)
- Name
- Heather Moser
- Credential
- LMAC, LAPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2024
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1912 | ND | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Impact Therapy, PLLC (Professional Name)
Practice location
3426 Bay Shore Bnd SeMandan, ND 58554-6259
Phone 701-516-6980
Mailing address
3426 Bay Shore Bnd SeMandan, ND 58554-6259
Phone 701-516-6980
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