Individual
MIKELA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 CATHEDRAL ST APT L3, BALTIMORE, MD 21201-5247
(301) 458-8051
Mailing address
701 CATHEDRAL ST APT L3, BALTIMORE, MD 21201-5247
(301) 458-8051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP17044
MD
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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