Individual
MR. KEVIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C., C.A.C.
Contact information
Practice address
314 MAXWELL RD STE 400, ALPHARETTA, GA 30004-2045
(770) 442-9447
(770) 442-2786
Mailing address
PO BOX 609, ALPHARETTA, GA 30009-0609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1764
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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