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Individual

JUANITA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 S SARATOGA ST, SUFFOLK, VA 23434-5322
(757) 715-7418
Mailing address
135 S SARATOGA ST, SUFFOLK, VA 23434-5322
(757) 927-9594

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701016296
VA

Other

Enumeration date
06/17/2026
Last updated
06/17/2026
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