Individual
WILLIAM EDWARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/MHSP
Contact information
Practice address
3505 ADKISSON DR NW STE 203A, CLEVELAND, TN 37312-6805
(423) 403-6149
Mailing address
365 S NO PONE VALLEY ROAD, DECATUR, TN 37322
(423) 334-8948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4041
TN
Other
Enumeration date
09/26/2017
Last updated
09/11/2023
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