Individual provider · Type 1 NPI

Juanese Moore, LPC

Mental Health Counselor · Tucker, GA

NPI number 1770067498 Active

Practice location

4500 Hugh Howell Rd Ste 620D
Tucker, GA 30084-4720

Call (770) 609-7288 Map

Fax (470) 777-2790

Mailing address

375 Rockbridge Rd NW Ste 172-350
Lilburn, GA 30047-8225

Other practice locations

  • 125 Lee Byrd Rd, Loganville, GA 30052-2310 · (770) 609-7288

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC010471 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1770067498

Juanese Moore, LPC's National Provider Identifier is 1770067498, issued on Sep 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucker, GA. The record was last updated on Mar 25, 2021.