Individual
MRS. ANGELA ELLEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
6781 CAMDEN RD, FAYETTEVILLE, NC 28306-7223
(877) 358-2998
(423) 405-6346
Mailing address
1101 W 40TH ST UNIT 2225, CHATTANOOGA, TN 37409-1379
(877) 358-2998
(423) 405-6346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S5187
NC
101YM0800X
Mental Health Counselor
Primary
S5187
NC
101YP2500X
Professional Counselor
S5187
NC
104100000X
Social Worker
S5187
NC
106H00000X
Marriage & Family Therapist
S5187
NC
Other
Enumeration date
09/25/2006
Last updated
10/31/2024
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