Individual provider · Type 1 NPI

Mary Lisa Moore

Professional Counselor · Fayetteville, NC

NPI number 1386743649 Active

Practice location

2905 Breezewood Ave, Suite 101
Fayetteville, NC 28303

Call (910) 223-9927 Map

Mailing address

1415 West Hwy 54, Suite 101
Durham, NC 27707

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5216 (NC)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1386743649

Mary Lisa Moore's National Provider Identifier is 1386743649, issued on Sep 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2007.