Individual
KANDY LEA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
192 CHESTNUT RIDGE RD, WEST UNION, OH 45693-9584
(937) 544-5581
(740) 353-1662
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2305353
OH
Other
Enumeration date
02/16/2022
Last updated
10/21/2024
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