Individual
JULIA S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
(864) 764-1336
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
637
SC
101YP2500X
Professional Counselor
Primary
3800
SC
Other
Enumeration date
06/23/2006
Last updated
07/23/2019
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