Individual provider · Type 1 NPI

Julie Moore, MSW

Mental Health Counselor · Lagrange, IN

NPI number 1811301724 Active

Practice location

836 N Detroit St
Lagrange, IN 46761-1112

Call (260) 499-3019 Map

Fax (260) 499-3022

Mailing address

PO Box 497
Warsaw, IN 46581-0497

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811301724

Julie Moore, MSW's National Provider Identifier is 1811301724, issued on Jun 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lagrange, IN. The record was last updated on Jun 18, 2014.