Individual
LA-VONNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E WILLIAMSBURG RD, SANDSTON, VA 23150-1639
(804) 908-2532
Mailing address
PO BOX 4, COLONIAL HEIGHTS, VA 23834-0004
(804) 926-9372
(804) 668-5251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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