Individual
JOEY LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9770
(406) 541-3034
Mailing address
1321 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-8400
(406) 224-4402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
38912
MT
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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