Individual
CARLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S EAST ST, CULPEPER, VA 22701-3276
(540) 227-0024
Mailing address
2033 MEANDER RUN RD, LOCUST DALE, VA 22948-4818
(540) 661-7617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014465
VA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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