Individual provider · Type 1 NPI

Tanner Moss

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1013887603 Active

Practice location

590 Ellis Rd S Bldg 4
Jacksonville, FL 32254-3555

Call (904) 800-2231 Map

Mailing address

14755 Macadamia Ln
Jacksonville, FL 32218-1985

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013887603

Tanner Moss's National Provider Identifier is 1013887603, issued on Nov 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 7, 2025.