Individual
VICKI BLAKE MOOREHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, SAP, LMHC
Contact information
Practice address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376
(423) 975-0222
Mailing address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376
(423) 975-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 10587
FL
101YP2500X
Professional Counselor
Primary
2788
TN
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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