Individual
MS. CHRISTINE M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SW
Contact information
Practice address
2001 W BROADWAY, MONONA, WI 53713-3707
(608) 807-8632
Mailing address
2001 W BROADWAY, MONONA, WI 53713-3707
(608) 807-8632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6962-125
WI
104100000X
Social Worker
39-120
WI
Other
Enumeration date
11/07/2013
Last updated
03/13/2024
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