Individual
AMY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CAPITAL AVE, FRANKFORT, KY 40601
(502) 321-7618
(859) 254-2075
Mailing address
420 CAPITAL AVE, FRANKFORT, KY 40601
(502) 321-7618
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
02/12/2019
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