Individual
PATRICIA F MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
105 S CEDAR ST, SUMMERVILLE, SC 29483-6078
(854) 855-2167
Mailing address
105 S CEDAR ST, SUMMERVILLE, SC 29483-6078
(854) 855-2167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10001235
MA
101YM0800X
Mental Health Counselor
Primary
9406
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
10/15/2020
Last updated
08/21/2024
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