Individual provider · Type 1 NPI
Madison Moore, LPC
Professional Counselor · Manassas, VA
NPI number
1508776691
Active
Practice location
8433 Cabin Branch Ct
Manassas, VA 20111-2849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701016089 (VA) |
Professional Counselor: Definition to come...
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About NPI 1508776691
Madison Moore, LPC's National Provider Identifier is 1508776691, issued on Sep 10, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manassas, VA. The record was last updated on Sep 10, 2026.