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Organization
DAVID MOORE COUNSELING SERVICES
Active
Organization
DAVID MOORE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOORE LCSW (OWNER)
(765) 506-1839
Entity
Organization
Contact information
Practice address
57340 ALPHA DR, GOSHEN, IN 46528-7808
(765) 506-1839
Mailing address
57340 ALPHA DR, GOSHEN, IN 46528-7808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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