Individual provider · Type 1 NPI

Fred Oliver Moore Iv

Counselor · New Orleans, LA

NPI number 1508367798 Active

Practice location

1995 Gentilly Blvd
New Orleans, LA 70119-1700

Mailing address

2043 St. Nick Dr/p: G4 N4, During The 12 Months During
New Orleans, LA 70131

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508367798

Fred Oliver Moore Iv's National Provider Identifier is 1508367798, issued on Feb 23, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Orleans, LA. The record was last updated on Feb 23, 2018.