Individual
MELISSA S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 PLANTATION WAY STE C, MONTGOMERY, AL 36117-2217
(334) 546-4145
Mailing address
527 LEGENDS DR, MONTGOMERY, AL 36116-6585
(334) 546-4245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3206A
AL
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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