Individual
ANTHONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7931 PENN RANDALL PL, SUITE D3, UPPER MARLBORO, MD 20772-2666
(202) 494-0955
Mailing address
3235 HIGHWOOD DR SE, WASHINGTON, DC 20020-2307
(202) 494-0955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4811
MD
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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