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Individual
MR. DAVID ISAAC MOORE
Active
Individual
MR. DAVID ISAAC MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, ADC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
06/21/2018
Last updated
02/24/2025
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