Individual
DEVON GRACE ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
18 THOROUGHBRED TRL, LAMY, NM 87540-9009
(575) 779-4048
Mailing address
18 THOROUGHBRED TRL, LAMY, NM 87540-9009
(575) 779-4048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0197091
NM
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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