Individual provider · Type 1 NPI
Ryan Moore
Mental Health Counselor · Fort Worth, TX
NPI number
1740008424
Active
Practice location
3001 W 5th St
Fort Worth, TX 76107-8900
Mailing address
6084 Alta Mira Cir Apt 1224
Fort Worth, TX 76132-5424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 95451 (TX) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1740008424
Ryan Moore's National Provider Identifier is 1740008424, issued on Oct 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 1, 2024.