Individual
MS. STACEY HURST MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4020 RICHARDS RD STE F, NORTH LITTLE ROCK, AR 72117-2744
(501) 753-1616
Mailing address
630 LAKE TREE LN, SHERWOOD, AR 72120-3482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0308032
AR
Other
Enumeration date
06/08/2017
Last updated
06/13/2017
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