Individual
AMANDA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
4900 UNIVERSITY SQ STE 30, HUNTSVILLE, AL 35816-1829
(256) 489-0170
(256) 686-0179
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-0801
(419) 694-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
05/05/2021
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