Andrea Gibb Moseley, LCPC, LADC
Counselor, Mental Health in Brunswick, ME. Individual provider (NPI-1).
NPI number1861695751
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1861695751
- Entity type
- Individual (NPI-1)
- Name
- Andrea Gibb Moseley
- Credential
- LCPC, LADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2007
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CC2254 | ME | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LC3356 | ME |
Practice location
14 Maine St Ste 24Brunswick, ME 04011-2545
Phone 207-205-2866
Mailing address
14 Maine St Ste 24Brunswick, ME 04011-2545
Phone 207-205-2866
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