Provider Demographics
NPI:1477916609
Name:MOSIER, MARY J (MS, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:J
Last Name:MOSIER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24321 AVENIDA DE LA CARLOTA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3681
Mailing Address - Country:US
Mailing Address - Phone:949-204-3006
Mailing Address - Fax:949-389-2001
Practice Address - Street 1:24321 AVENIDA DE LA CARLOTA
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3681
Practice Address - Country:US
Practice Address - Phone:949-204-3006
Practice Address - Fax:949-389-2001
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109948106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist