Individual provider · Type 1 NPI

Nicole Moore

Mental Health Counselor · Richmond, VA

NPI number 1184467649 Active

Practice location

2006 Bremo Rd Ste 101
Richmond, VA 23226-2438

Mailing address

9600 Beekman Ln Apt 1355
Richmond, VA 23228-2243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184467649

Nicole Moore's National Provider Identifier is 1184467649, issued on Jun 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, VA. The record was last updated on Jun 13, 2024.