Individual provider · Type 1 NPI
Kevin Moore, L.P.C., C.A.C.
Professional Counselor · Alpharetta, GA
NPI number
1447319645
Active
Practice location
314 Maxwell Rd Ste 400
Alpharetta, GA 30004-2045
Fax (770) 442-2786
Mailing address
PO Box 609
Alpharetta, GA 30009-0609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1764 (GA) |
Professional Counselor: Definition to come...
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About NPI 1447319645
Kevin Moore, L.P.C., C.A.C.'s National Provider Identifier is 1447319645, issued on Dec 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alpharetta, GA. The record was last updated on Jul 8, 2007.