Individual provider · Type 1 NPI
Laura Jeanne Moore, LPC
Mental Health Counselor · Prescott, AZ
NPI number
1265046510
Active
Practice location
2050 Willow Creek Rd
Prescott, AZ 86301-5389
Fax (623) 213-7570
Mailing address
4 Perkins Dr
Prescott, AZ 86301-8458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC22509 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1265046510
Laura Jeanne Moore, LPC's National Provider Identifier is 1265046510, issued on Sep 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prescott, AZ. The record was last updated on Nov 20, 2024.