Individual
DR. DIANNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4760 FLINTRIDGE DR STE 250, COLORADO SPRINGS, CO 80918-4264
(719) 260-0780
Mailing address
4760 FLINTRIDGE DR STE 250, COLORADO SPRINGS, CO 80918-4264
(719) 260-0780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
972930908
CO
106H00000X
Marriage & Family Therapist
Primary
972930908
CO
Other
Enumeration date
11/24/2006
Last updated
10/24/2011
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