Individual
NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
821 DELAWARE AVE SW, UNIT A, WASHINGTON, DC 20024-4207
(703) 622-5615
Mailing address
821 DELAWARE AVE SW, UNIT A, WASHINGTON, DC 20024-4207
(703) 622-5615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00132
DC
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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