Individual provider · Type 1 NPI

Paulette Moore, LGPC

Mental Health Counselor · Gaithersburg, MD

NPI number 1639712284 Active

Practice location

610 E Diamond Ave Ste 100A
Gaithersburg, MD 20877-5321

Fax (301) 840-1348

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP6411 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1639712284

Paulette Moore, LGPC's National Provider Identifier is 1639712284, issued on Oct 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gaithersburg, MD. The record was last updated on Oct 25, 2019.