Individual
MRS. CHRISTINE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1001 W. BROADWAY, D & E, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 599-9351
Mailing address
1001 W. BROADWAY, D & E, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 599-9351
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2023-0090
NM
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/31/2018
Last updated
11/20/2023
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