Individual
BRANDI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9502 E COLUMBUS DR, TAMPA, FL 33619-7715
(813) 769-0445
Mailing address
7969 CARRIAGE POINTE DR, GIBSONTON, FL 33534-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23358
FL
Other
Enumeration date
05/15/2024
Last updated
06/07/2024
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