Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Lee Moss, CATCNO218978III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467189670

Kenneth Lee Moss, CATCNO218978III is an Addiction (Substance Use Disorder) Counselor in Sherman Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

13425 Ventura Blvd Ste 201
Sherman Oaks, CA 91423-3974
Phone: (818) 523-0025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1467189670
Entity typeIndividual (Type 1)
GenderMale
Credentials CATCNO218978III
Sole proprietorYes
NPI enumeratedAugust 7, 2022
Last updated in NPPESAugust 7, 2022
Certification dateAugust 7, 2022

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