Individual
AMANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
600 E CARMEL DR STE 143, CARMEL, IN 46032-3053
(260) 602-7614
Mailing address
12362 TWYCKENHAM DR, FISHERS, IN 46037-4503
(260) 602-7614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004358A
IN
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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