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Individual

CANDICE GAIL MOORE

Active
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Individual

CANDICE GAIL MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
71711
TX
101YM0800X
Mental Health Counselor
71711
TX
101YP2500X
Professional Counselor
Primary
71711
TX

Other

Enumeration date
07/14/2015
Last updated
04/29/2026
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