Provider Demographics
NPI:1639654783
Name:MOSSER, JOCELYN R (LPCA)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:R
Last Name:MOSSER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 DRY POND RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-5303
Mailing Address - Country:US
Mailing Address - Phone:828-335-1954
Mailing Address - Fax:
Practice Address - Street 1:1191 DRY POND RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-5303
Practice Address - Country:US
Practice Address - Phone:828-335-1954
Practice Address - Fax:828-398-4222
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14167101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health