Individual
KATELYN RICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
110 E OAK AVE, WAKE FOREST, NC 27587-2152
(919) 601-3706
Mailing address
110 E OAK AVE, WAKE FOREST, NC 27587-2152
(919) 601-3706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12662
NC
Other
Enumeration date
10/01/2018
Last updated
03/28/2023
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