Individual
MRS. NICKOLE RENEA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
901 MOUNTAIN CREEK RD STE 200, CHATTANOOGA, TN 37405-4645
(423) 596-7185
Mailing address
4500 TENNESSEE AVE, CHATTANOOGA, TN 37409-1630
(423) 596-7185
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1154
TN
Other
Enumeration date
04/22/2010
Last updated
10/20/2015
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