Individual
CHRIS D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
PO BOX 501, PLOVER, WI 54467-0501
(308) 398-1798
Mailing address
PO BOX 501, PLOVER, WI 54467-0501
(308) 398-1798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8204-226
WI
Other
Enumeration date
11/19/2024
Last updated
04/07/2025
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