Individual
MRS. DEBORAH B MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CSAC, LPC
Contact information
Practice address
3169 2ND AVENUE EAST, BIG STONE GAP, VA 24219
(276) 523-8318
(276) 523-6964
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 0701004182
VA
101YP2500X
Professional Counselor
Primary
0701004182
VA
Other
Enumeration date
02/01/2007
Last updated
10/11/2019
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