Individual
MS. LYDIA MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
721 E 10TH ST, ANNISTON, AL 36207-4785
(256) 741-8265
(256) 741-8266
Mailing address
721 E 10TH ST, ANNISTON, AL 36207-4785
(256) 741-8265
(256) 741-8266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3325
AL
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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