Individual provider · Type 1 NPI

Stacey L. Moore, LPC

Professional Counselor · Wauwatosa, WI

NPI number 1225210206 Active

Practice location

1220 Dewey Ave
Wauwatosa, WI 53213-2504

Fax (414) 454-6450

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3571 (WI)

Professional Counselor: Definition to come...

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About NPI 1225210206

Stacey L. Moore, LPC's National Provider Identifier is 1225210206, issued on Nov 30, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 30, 2007.