Individual
MRS. LAURA RENEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 730-3022
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 730-3022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2610
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477849677
—
KS
Enumeration date
06/26/2011
Last updated
12/03/2020
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