Individual provider · Type 1 NPI
Michael David Moore, M.A., L.L.P.C.
Professional Counselor · Detroit, MI
NPI number
1891812202
Active
Practice location
7737 Kercheval St
Detroit, MI 48214-2437
Fax (313) 925-2508
Mailing address
15945 Addison St
Southfield, MI 48075-6902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1891812202
Michael David Moore, M.A., L.L.P.C.'s National Provider Identifier is 1891812202, issued on Mar 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.