Provider Demographics
NPI:1861805186
Name:MOSS-HUNTER, ELIZABETH CORRINE (LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CORRINE
Last Name:MOSS-HUNTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CORRI
Other - Middle Name:
Other - Last Name:MOSS-HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:501 ATKINS ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-2501
Mailing Address - Country:US
Mailing Address - Phone:760-428-8673
Mailing Address - Fax:
Practice Address - Street 1:501 ATKINS ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-2501
Practice Address - Country:US
Practice Address - Phone:760-428-8673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist