Individual provider · Type 1 NPI

John Moss, CADC, CODP, QMHP

Addiction (Substance Use Disorder) Counselor · Morris, IL

NPI number 1619147394 Active

Practice location

1320 Union St
Morris, IL 60450-2426

Call (815) 941-3142 Map

Mailing address

1148 County Road 27
Mountain Home, AR 72653-7948

Other practice locations

  • 18 County Road 458, Mountain Home, AR 72653-8212 · (870) 425-5252

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X34538 (IL)

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

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About NPI 1619147394

John Moss, CADC, CODP, QMHP's National Provider Identifier is 1619147394, issued on Mar 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Morris, IL. The record was last updated on Aug 21, 2019.