Individual
MR. DAVID ISAAC MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, ADC
Contact information
Practice address
208 E 1ST AVE, EASLEY, SC 29640-3039
(864) 898-5800
(864) 898-5804
Mailing address
208 E 1ST AVE, EASLEY, SC 29640-3039
(864) 898-5800
(864) 898-5804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
06/21/2018
Last updated
02/24/2025
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