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Individual
KATHLEEN J. WALSH MOORE
Active
Individual
KATHLEEN J. WALSH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101961
VA
101YM0800X
Mental Health Counselor
Primary
11771
NC
103TC0700X
Clinical Psychologist
0701003192
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528091063
—
VA
Enumeration date
07/14/2009
Last updated
01/24/2024
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