Individual
DEMETRIS L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
9111 CROSS PARK DRIVE SUITE E475, KNOXVILLE, TN 37923
(865) 560-2550
(865) 560-2580
Mailing address
6315 KINGSTON PIKE, APT 1102, KNOXVILLE, TN 37919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
05/02/2012
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