Provider Demographics
NPI:1194192518
Name:DARSEY-MOSS, JOANNA (LMHCA)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:DARSEY-MOSS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 EASTLAKE AVE E
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3143
Mailing Address - Country:US
Mailing Address - Phone:206-427-1459
Mailing Address - Fax:206-329-5389
Practice Address - Street 1:2722 EASTLAKE AVE E
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3143
Practice Address - Country:US
Practice Address - Phone:206-427-1459
Practice Address - Fax:206-329-5389
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60697099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health