Provider Demographics
NPI:1073823225
Name:MORROW MOSLEY, MISTI LIN (AA)
Entity Type:Individual
Prefix:MRS
First Name:MISTI
Middle Name:LIN
Last Name:MORROW MOSLEY
Suffix:
Gender:F
Credentials:AA
Other - Prefix:MRS
Other - First Name:MISTI
Other - Middle Name:
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2930 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6836
Mailing Address - Country:US
Mailing Address - Phone:530-403-8944
Mailing Address - Fax:
Practice Address - Street 1:2930 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6836
Practice Address - Country:US
Practice Address - Phone:530-403-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)