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Individual
DR. CHARLENE ANNETTE MOORE-PETERSON
Active
Individual
DR. CHARLENE ANNETTE MOORE-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6666
SC
101YM0800X
Mental Health Counselor
LPC011406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
09/17/2007
Last updated
08/15/2023
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