Individual
AMBER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2101 EXECUTIVE DR, SUITE 200, HAMPTON, VA 23666-2404
(757) 827-2923
Mailing address
PO BOX 308, SUITE 200, BELLE HAVEN, VA 23306
(757) 442-6147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006038
VA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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