Individual
MS. BRITANNIA GENELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
402 KENNON LN APT 5, RUSTON, LA 71270-8800
(318) 834-2345
Mailing address
402 KENNON LN APT 5, RUSTON, LA 71270-8800
(318) 834-2345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3943
LA
101Y00000X
Counselor
66491
TX
Other
Enumeration date
07/09/2010
Last updated
09/23/2010
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