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Organization
RECEIVING MOORE PSYCHOTHERAPY PC
Active
Organization
RECEIVING MOORE PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MOORE LIMHP (OWNER)
(402) 416-1304
Entity
Organization
Contact information
Practice address
6315 AYLESWORTH AVE, LINCOLN, NE 68505-1276
(402) 416-1304
(402) 347-0909
Mailing address
6315 AYLESWORTH AVE, LINCOLN, NE 68505-1276
(402) 416-1304
(402) 347-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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