Individual
DR. CASSANDRA JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MA, LPC, LPC/S
Contact information
Practice address
3122 SAVANNAH HWY, NORTH, SC 29112-8165
(803) 604-6253
(855) 397-9171
Mailing address
3122 SAVANNAH HWY, NORTH, SC 29112-8165
(803) 604-6253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5056
SC
Other
Enumeration date
12/20/2006
Last updated
04/09/2021
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