Individual
RICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., PLPC, NCC
Contact information
Practice address
9666 OLIVE BLVD STE 205, SAINT LOUIS, MO 63132-3025
(314) 390-8703
Mailing address
1040 FRANKO DR, O FALLON, MO 63366-3484
(314) 226-5951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018028491
MO
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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