| Dijanae Moody, | |
|
340 Magnolia Cir # 1465, Tyndall Afb, FL 32403-5604 | |
| (850) 283-7511 | |
| Not Available |
| Full Name | Dijanae Moody |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 340 Magnolia Cir # 1465, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508715079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dijanae Moody, 340 Magnolia Cir # 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7511 | Dijanae Moody, 340 Magnolia Cir # 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7511 |
Dr. Andre Jawann Sullivan, M.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 703-731-2566 | |
Christine Kersten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7918 | |
Lucie Bouchard, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Johanna Mees, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4032 Harlow Ln, Tyndall Afb, FL 32403 Phone: 651-746-9892 |