Doctor Name: | MS. SHARA MOSCINSKA |
NPI Number: | 1275562548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 0105421 |
Business Practice Address: | 3 Homesteads Rd. Suite E Placitas, NM - 87043 |
Business Phone Number: | 5053851932 |
Business Fax Number: | 5057713438 |
Mailing Address: | 5 Pine Ct, PLACITAS |
State: | NM |
Postal Code: | 870439131 |
Phone Number: | 5057718242 |
Fax Number: | 5057713438 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0105421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |