Individual provider · Type 1 NPI
William Edward Moore, LPC/MHSP
Professional Counselor · Cleveland, TN
NPI number
1225547805
Active
Practice location
3505 Adkisson Dr NW Ste 203A
Cleveland, TN 37312-6805
Mailing address
365 S No Pone Valley Road
Decatur, TN 37322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4041 (TN) |
Professional Counselor: Definition to come...
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About NPI 1225547805
William Edward Moore, LPC/MHSP's National Provider Identifier is 1225547805, issued on Sep 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cleveland, TN. The record was last updated on Sep 11, 2023.