Individual
DEANNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4925 GREENVILLE AVE STE 570, DALLAS, TX 75206-4036
(972) 345-7998
Mailing address
8275 NUNLEY LN, DALLAS, TX 75231-4629
(972) 345-7998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
202402
TX
101YM0800X
Mental Health Counselor
Primary
72316
TX
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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