Individual
NANCY LORENA C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
359 TREELAND DR, LADSON, SC 29456-3093
(843) 900-1346
Mailing address
359 TREELAND DR, LADSON, SC 29456-3093
(843) 900-1346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
09/27/2019
Last updated
01/06/2022
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