Individual
DANNY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(606) 329-8195
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/08/2015
Last updated
07/06/2021
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