Individual provider · Type 1 NPI
Kaily Marie Moore
Mental Health Counselor · Princeton, TX
NPI number
1801412028
Active
Practice location
1507 Wilderness St
Princeton, TX 75407-0675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 203687 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1801412028
Kaily Marie Moore's National Provider Identifier is 1801412028, issued on Jun 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Princeton, TX. The record was last updated on Jun 23, 2020.