Individual provider · Type 1 NPI

Thayne David Moore, MS

Mental Health Counselor · Kearney, NE

NPI number 1740174887 Active

Practice location

220 W 15th St
Kearney, NE 68845-6763

Fax (308) 224-0596

Mailing address

2814 W 37th St
Kearney, NE 68845-0420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X14450 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1740174887

Thayne David Moore, MS's National Provider Identifier is 1740174887, issued on Jun 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kearney, NE. The record was last updated on Jun 4, 2025.