Individual
DR. CHARLES RAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
10000 N CENTRAL EXPY, STE 400, #467, DALLAS, TX 75231-4177
(214) 763-9905
Mailing address
10000 N CENTRAL EXPY, STE 400, #467, DALLAS, TX 75231-4177
(214) 763-9905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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