Individual provider · Type 1 NPI

Cooper Thomas Moore, LMHC

Mental Health Counselor · St. Augustine, FL

NPI number 1902459480 Active

Practice location

1301 Plantation Island Dr S Ste 202A
St. Augustine, FL 32080-3111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH18603 (FL)
Mental Health Counselor 101YM0800X17529 (FL)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1902459480

Cooper Thomas Moore, LMHC's National Provider Identifier is 1902459480, issued on Jul 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 30, 2023.