Individual provider · Type 1 NPI
Angela Ellen Moore, LCMHCS
Mental Health Counselor · Fayetteville, NC
NPI number
1265533368
Active
Practice location
6781 Camden Rd
Fayetteville, NC 28306-7223
Fax (423) 405-6346
Mailing address
1101 W 40th St Unit 2225
Chattanooga, TN 37409-1379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | S5187 (NC) |
| Counselor | 101Y00000X | S5187 (NC) |
| Social Worker | 104100000X | S5187 (NC) |
| Marriage & Family Therapist | 106H00000X | S5187 (NC) |
| Mental Health Counselor Primary | 101YM0800X | S5187 (NC) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Fayetteville
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About NPI 1265533368
Angela Ellen Moore, LCMHCS's National Provider Identifier is 1265533368, issued on Sep 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 31, 2024.