(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003473026
Provider Name: GREGORY P MOODY LADC
Entity Type: Individual
Taxonomy Code: 101Y00000X
Specialty: Counselor
License Number: CAC6402
Most Important Dates
Enumeration Date: 05/24/2019
Last Updated: 05/27/2021
Provider Practice Location
180 ACADEMY ST STE 2
PRESQUE ISLE
ME
047693183
Practice Location Phone/Fax
Phone: 2077643319
Fax: 2077685377
Provider Mailing Location
180 ACADEMY ST STE 3
PRESQUE ISLE
ME
047693183
Provider Mailing Phone/Fax
Phone: 2075542352
Fax: 2075542351