Individual
HOLLY LYNN CAREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3941 S ATHERTON ST, STATE COLLEGE, PA 16801-8309
(814) 753-1577
Mailing address
3941 S ATHERTON ST, STATE COLLEGE, PA 16801-8309
(814) 753-1577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC011543
PA
Other
Enumeration date
07/15/2020
Last updated
07/24/2020
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