Individual
CHARLYN ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
5045 E HINSON AVE, HAINES CITY, FL 33844-8872
(863) 557-3944
Mailing address
5045 E HINSON AVE, HAINES CITY, FL 33844-8872
(863) 557-3944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21958
FL
Other
Enumeration date
07/26/2023
Last updated
07/31/2023
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