Individual provider · Type 1 NPI

Stacey Marie Moore, LPC

Mental Health Counselor · Scranton, PA

NPI number 1184079873 Active

Practice location

1509 Maple St
Scranton, PA 18505-2707

Mailing address

736 W Oak St
Old Forge, PA 18518-1124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPC008107 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1184079873

Stacey Marie Moore, LPC's National Provider Identifier is 1184079873, issued on Apr 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scranton, PA. The record was last updated on Apr 29, 2016.