Individual provider · Type 1 NPI

Christardra Moore, LPC

Professional Counselor · Monroe, LA

NPI number 1942269394 Active

Practice location

4800 S Grand St
Monroe, LA 71202-6412

Fax (318) 362-3336

Mailing address

2513 Ferrand St
Monroe, LA 71201-3210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA0305049 (AR)
Professional Counselor 101YP2500XP0704014 (AR)
Professional Counselor Primary 101YP2500X4636 (LA)

Professional Counselor: Definition to come...

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About NPI 1942269394

Christardra Moore, LPC's National Provider Identifier is 1942269394, issued on Mar 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, LA. The record was last updated on Aug 30, 2022.