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Individual

SONYA GLYN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. , LADAC II

Contact information

Practice address
400 W 1ST NORTH ST STE D, MORRISTOWN, TN 37814-4617
(828) 335-2310
(423) 266-5101
Mailing address
4845 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-1023
(828) 335-2310
(423) 266-5101

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LDC0000001260
TN
103TC1900X
Counseling Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q028453
TN
Enumeration date
11/04/2014
Last updated
04/01/2025
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