AMBER BRISA MOSS

LAKE CITY, FL
NPI1003244971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH11197)
Enumeration Date2013-10-31
Last Update Date2013-10-31
Business Address
-- AMBER BRISA MOSS RMHCI
922 SW BAYA DR
LAKE CITY, FL 32025-4209
Phone number: 386-754-9005
Mailing Address
-- AMBER BRISA MOSS RMHCI
20251 E LEVY ST
WILLISTON, FL 32696-7375
Phone number: 508-254-5807
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