Organization
KEVIN MOORE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L MOORE LCSW (THERAPIST)
(574) 529-5090
Entity
Organization
Contact information
Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 529-5090
Mailing address
PO BOX 761, NORTH WEBSTER, IN 46555-0761
(574) 529-5090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005489A
IN
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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