Most Relevant Information
Provider Data
| NPI Number: | 1003212358 |
| Provider Name: | REGGIE MOSES ST. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2014 |
| Last Updated: | 11/14/2014 |
Provider Practice Location
900 EAST BLVD
CHARLOTTE
NC
282035204
Practice Location Phone/Fax
| Phone: | 7043320081 |
| Fax: | 7043320085 |
Provider Mailing Location
900 EAST BLVD
CHARLOTTE
NC
282035204
Provider Mailing Phone/Fax
| Phone: | 7043320081 |
| Fax: | 7043320085 |