Individual provider · Type 1 NPI

Lauren Avery Moore

Professional Counselor · Longview, TX

NPI number 1902637945 Active

Practice location

2503 Golf Ave
Longview, TX 75602-4711

Call (903) 452-5577 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X95717 (TX)

Professional Counselor: Definition to come...

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About NPI 1902637945

Lauren Avery Moore's National Provider Identifier is 1902637945, issued on Aug 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Aug 12, 2024.