Individual
ASHLEY GLEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCP, LCPC
Contact information
Practice address
505 N TYLER RD, APT 1314, WICHITA, KS 67212-3676
(316) 651-6376
Mailing address
505 N TYLER RD, APT 1314, WICHITA, KS 67212-3676
(316) 651-6376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
05/01/2017
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