KENNETH LEE MOSS

SHERMAN OAKS, CA
NPI1467189670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-08-07
Last Update Date2022-08-07
Business Address
KENNETH LEE MOSS CATC No. 218978 III
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423-3974
Phone number: 818-523-0025
Mailing Address
KENNETH LEE MOSS CATC No. 218978 III
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423-3974
Phone number: 818-523-0025
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