Individual
CAMILLE CHERIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7027 GLADES AVE, SAINT LOUIS, MO 63117-1901
(618) 616-9652
Mailing address
7027 GLADES AVE, SAINT LOUIS, MO 63117-1901
(618) 616-9652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0019055
CO
101YP2500X
Professional Counselor
Primary
2020043247
MO
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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