Individual
DEBORAH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2727 SAN PEDRO DR NE, SUITE 111, ALBUQUERQUE, NM 87110-3368
(505) 323-3665
(505) 323-1038
Mailing address
2727 SAN PEDRO DR NE, SUITE 111, ALBUQUERQUE, NM 87110-3368
(505) 323-3665
(505) 323-1038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0132081
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04556038
—
NM
Enumeration date
08/04/2010
Last updated
01/03/2012
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