Individual provider · Type 1 NPI

Terry William Moore, PhD

Mental Health Counselor · Flagstaff, AZ

NPI number 1174586598 Active

Practice location

408 N Kendrick St
Flagstaff, AZ 86001-1582

Call (928) 774-6364 Map

Fax (928) 556-0504

Mailing address

2224 N Lantern Ln
Flagstaff, AZ 86001-1133

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X33811 (WY)
Counseling Psychologist 103TC1900X1098 (AZ)
Counseling Psychologist 103TC1900X172 (WY)

Mental Health Counselor: Definition to come...

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About NPI 1174586598

Terry William Moore, PhD's National Provider Identifier is 1174586598, issued on Apr 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 13, 2026.