Individual provider · Type 1 NPI

Mark Earl Moore, MA, LPC, NCC

Mental Health Counselor · Farmington, MO

NPI number 1104748979 Active

Practice location

209 Addie Dr
Farmington, MO 63640-3458

Call (573) 783-9758 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2012041944 (MO)
Mental Health Counselor Primary 101YM0800X2012041944 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1104748979

Mark Earl Moore, MA, LPC, NCC's National Provider Identifier is 1104748979, issued on Jul 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, MO. The record was last updated on Jul 27, 2026.