Individual
TAMIKA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 S LABURNUM AVE, RICHMOND, VA 23231-4418
(804) 737-3917
(804) 737-3940
Mailing address
5663 S LABURNUM AVE, RICHMOND, VA 23231-4418
(804) 737-3917
(804) 737-3940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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