Provider Demographics
NPI:1225418833
Name:MOSSETT, MILISA (MASTER IN COUNSELING)
Entity Type:Individual
Prefix:MS
First Name:MILISA
Middle Name:
Last Name:MOSSETT
Suffix:
Gender:F
Credentials:MASTER IN COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 GOVERNORS BLVD APT 6
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-1565
Mailing Address - Country:US
Mailing Address - Phone:406-696-7367
Mailing Address - Fax:
Practice Address - Street 1:1584 GOVERNORS BLVD APT 6
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-1565
Practice Address - Country:US
Practice Address - Phone:406-696-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health