Individual
ELIZABETH A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3120 MAJESTIC RDG, LAS CRUCES, NM 88011-4604
(575) 571-1072
Mailing address
3120 MAJESTIC RDG, LAS CRUCES, NM 88011-4604
(575) 571-1072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0302
NM
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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