Individual provider · Type 1 NPI
Elizabeth Ann Moore, PhD, LCSW
Mental Health Counselor · Oxford, MS
NPI number
1669723326
Active
Practice location
2084 Old Taylor Rd, Suite 107
Oxford, MS 38655-5189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C8117 (MS) |
| Specialist | 174400000X | 991428 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1669723326
Elizabeth Ann Moore, PhD, LCSW's National Provider Identifier is 1669723326, issued on Sep 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oxford, MS. The record was last updated on Jun 9, 2015.