Individual provider · Type 1 NPI

Shannon Moore

Professional Counselor · Rosedale, MD

NPI number 1912439001 Active

Practice location

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Call (410) 780-5203 Map

Fax (410) 780-5205

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Professional Counselor Primary 101YP2500X16339 (MD)

Professional Counselor: Definition to come...

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About NPI 1912439001

Shannon Moore's National Provider Identifier is 1912439001, issued on Mar 29, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rosedale, MD. The record was last updated on Sep 15, 2025.