Individual
JANICE MARQUETTE MCMOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
401 BEECHAM DR, RICHMOND, VA 23227-1302
(804) 918-0069
(804) 918-1755
Mailing address
401 BEECHAM DR, RICHMOND, VA 23227-1302
(804) 918-0069
(804) 918-1755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101439
VA
101YP2500X
Professional Counselor
Primary
0701006071
VA
Other
Enumeration date
11/04/2009
Last updated
06/16/2015
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