Individual
CONNIE D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
6100 VINE ST, P-77, LINCOLN, NE 68505-2861
(402) 968-1873
Mailing address
6100 VINE ST, P-77, LINCOLN, NE 68505-2861
(402) 968-1873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2360
NE
Other
Enumeration date
10/12/2011
Last updated
10/21/2011
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