Individual provider · Type 1 NPI

Charlotte A. Moore, LPC

Professional Counselor · Lebanon, MO

NPI number 1073821963 Active

Practice location

104 Crescent Dr
Lebanon, MO 65536-3301

Call (417) 588-5885 Map

Fax (417) 588-4296

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2010032196 (MO)
Professional Counselor Primary 101YP2500X2010032196 (MO)

Professional Counselor: Definition to come...

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About NPI 1073821963

Charlotte A. Moore, LPC's National Provider Identifier is 1073821963, issued on Sep 14, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, MO. The record was last updated on Jul 30, 2025.