Individual provider · Type 1 NPI
Demetris L. Moore, M.S.
Mental Health Counselor · Knoxville, TN
NPI number
1407996879
Active
Practice location
9111 Cross Park Drive Suite E475
Knoxville, TN 37923
Fax (865) 560-2580
Mailing address
6315 Kingston Pike, Apt 1102
Knoxville, TN 37919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407996879
Demetris L. Moore, M.S.'s National Provider Identifier is 1407996879, issued on Feb 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on May 2, 2012.