Individual provider · Type 1 NPI
Olivia Marie Moore
Mental Health Counselor · Raleigh, NC
NPI number
1205650140
Active
Practice location
309 W Millbrook Rd Ste 151
Raleigh, NC 27609-4261
Mailing address
3213 Lake Woodard Dr
Raleigh, NC 27604-3660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 1261992 (NC) |
| Mental Health Counselor Primary | 101YM0800X | A20759 (NC) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1205650140
Olivia Marie Moore's National Provider Identifier is 1205650140, issued on Nov 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Nov 7, 2024.