Individual
ISAAC MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4110 FITZPATRICK BLVD APT 2401, MONTGOMERY, AL 36116-4835
(251) 508-6900
Mailing address
4110 FITZPATRICK BLVD APT 2401, MONTGOMERY, AL 36116-4835
(251) 508-6900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4516
AL
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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