Individual
ANGELA KATHLEEN HENEGAR MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
Mailing address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007205
VA
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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