Individual provider · Type 1 NPI
Ellen Kay Moore, LCSW
Professional Counselor · Atlanta, GA
NPI number
1336228600
Active
Practice location
4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210
Fax (770) 677-9400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CSW001307 (GA) |
Professional Counselor: Definition to come...
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About NPI 1336228600
Ellen Kay Moore, LCSW's National Provider Identifier is 1336228600, issued on Nov 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.