Individual
MS. WENDY WAHL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2800 S SHIRLINGTON RD STE 350, ARLINGTON, VA 22206-3617
(703) 379-9311
Mailing address
7611 RANGE RD, ALEXANDRIA, VA 22306-2425
(410) 703-2543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC 1603
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008383600
—
MD
Enumeration date
09/06/2006
Last updated
09/14/2023
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