Individual
JANICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LISAC
Contact information
Practice address
15857 E PONDEROSA DR, FOUNTAIN HILLS, AZ 85268-3628
(480) 495-1413
Mailing address
15857 E PONDEROSA DR, FOUNTAIN HILLS, AZ 85268-3628
(480) 495-1413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10272
AZ
101YP2500X
Professional Counselor
Primary
LPC-11792
AZ
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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