Individual
CHARLOTTE A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 CRESCENT DR, LEBANON, MO 65536-3301
(417) 588-5885
(417) 588-4296
Mailing address
104 CRESCENT DR, LEBANON, MO 65536-3301
(417) 588-5885
(417) 588-4296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2010032196
MO
101YP2500X
Professional Counselor
Primary
2010032196
MO
Other
Enumeration date
09/14/2010
Last updated
07/30/2025
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