Individual
CHANEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
701 ANTLER DR, CASPER, WY 82601-1726
(307) 359-2092
Mailing address
2614 NAVARRE RD, CASPER, WY 82604-4686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1552
WY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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