Individual
TERESA BUROW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30101 HOOVER RD, WARREN, MI 48093-6572
(586) 558-6868
(586) 558-6893
Mailing address
138 HIBBARD CT S, PONTIAC, MI 48341-2172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012598
MI
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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