| Doctor Name: | MR. WILLIAM THOMAS MOSHER |
| NPI Number: | 1003037565 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LPC, LADC |
| License Number: | 773 |
| Business Practice Address: | 114 W Delaware Ave Nowata, OK - 740482601 |
| Business Phone Number: | 9182731841 |
| Business Fax Number: | 9182731843 |
| Mailing Address: | 378 Hermit Ln, SKIATOOK |
| State: | OK |
| Postal Code: | 740705501 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 773 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |