Individual
BRANDI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 SAINT ROSE PKWY, STE. 202, HENDERSON, NV 89074-7783
(702) 518-0376
Mailing address
7948 W NEVSO DR, LAS VEGAS, NV 89147-5001
(702) 518-0376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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