Individual
BRENDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 HWY. 54, SUITE 200, DURHAM, NC 27713
(919) 405-2177
(919) 544-4611
Mailing address
2205 EIDER CT, GRAHAM, NC 27253-8800
(919) 405-2177
(919) 544-4611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5328
NC
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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