Individual provider · Type 1 NPI

Dan Moore, M.S., L.A.C.

Mental Health Counselor · Fordyce, AR

NPI number 1982733952 Active

Practice location

1101 W 3rd St
Fordyce, AR 71742-3014

Call (870) 352-5122 Map

Fax (870) 352-5127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA0011054 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1982733952

Dan Moore, M.S., L.A.C.'s National Provider Identifier is 1982733952, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fordyce, AR. The record was last updated on Jul 8, 2007.