Individual
CHARISSE ALEXANDRIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1095 E INDIAN SCHOOL RD STE 700, PHOENIX, AZ 85014-4846
(623) 225-7591
Mailing address
24250 N 23RD AVE UNIT 1027, PHOENIX, AZ 85085-1910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-18317
AZ
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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