Individual provider · Type 1 NPI

Mary Moore, LPC

Mental Health Counselor · Lafayette, LA

NPI number 1093363871 Active

Practice location

107 Montrose Ave
Lafayette, LA 70503-3852

Mailing address

178 Ronald Blvd
Lafayette, LA 70503-2738

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6779 (LA)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1093363871

Mary Moore, LPC's National Provider Identifier is 1093363871, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Aug 26, 2019.