Individual
PAMELA O MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5310 HOMESTEAD RD NE, SUITE 300, ALBUQUERQUE, NM 87110-1437
(505) 503-6838
Mailing address
5016 CALLE ALTA NE, ALBUQUERQUE, NM 87111-2910
(505) 385-3072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0163551
NM
101YM0800X
Mental Health Counselor
Primary
0162691
NM
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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