Most Relevant Information
Provider Data
| NPI Number: | 1003644584 |
| Provider Name: | ERIC MOSER CADC-DP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2024 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
711 S ILLINOIS AVE
GAYLORD
MI
497351763
Practice Location Phone/Fax
| Phone: | 9897324357 |
| Fax: | 9894551791 |
Provider Mailing Location
711 S ILLINOIS AVE
GAYLORD
MI
497351763
Provider Mailing Phone/Fax
| Phone: | 9897324357 |
| Fax: | 9894551791 |