Individual provider · Type 1 NPI

Ingrid Maria Moore, MS

Professional Counselor · Medford, OR

NPI number 1376847871 Active

Practice location

140 South Holly Street
Medford, OR 97501

Fax (541) 774-7964

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1376847871

Ingrid Maria Moore, MS's National Provider Identifier is 1376847871, issued on Dec 27, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Mar 16, 2017.