Individual provider · Type 1 NPI
Phyllis Kay Moczygemba, LCDC
Addiction (Substance Use Disorder) Counselor · Austin, TX
NPI number
1851683791
Active
Practice location
1825 Fortview Rd Ste 106
Austin, TX 78704-7600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2680 (TX) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2680 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1851683791
Phyllis Kay Moczygemba, LCDC's National Provider Identifier is 1851683791, issued on May 11, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Apr 19, 2019.