Individual
DONISHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DAVENTRY LN STE 5, LOUISVILLE, KY 40223-2869
(502) 586-4049
Mailing address
102 DAVENTRY LN STE 5, LOUISVILLE, KY 40223-2869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
279649
KY
Other
Enumeration date
02/13/2024
Last updated
10/07/2024
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