Individual provider · Type 1 NPI

Carmen Moore

Mental Health Counselor · Snellville, GA

NPI number 1245764216 Active

Practice location

2795 Main St W
Snellville, GA 30078-3164

Call (678) 332-0074 Map

Mailing address

5061 Ashley Pl NW
Acworth, GA 30102-2592

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245764216

Carmen Moore's National Provider Identifier is 1245764216, issued on Apr 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Snellville, GA. The record was last updated on Apr 17, 2017.