Individual
COLTEN J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
6010 MILLS CIVIC PKWY STE 200, WEST DES MOINES, IA 50266-8345
(515) 224-9666
Mailing address
317 SE 30TH ST, ANKENY, IA 50021-9361
(515) 729-0370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089323
IA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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