Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3682 BONNIE GLENN LN, TUCKER, GA 30084-8333
(404) 919-9582
Mailing address
3682 BONNIE GLENN LN, TUCKER, GA 30084-8333
(404) 919-9582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
006091
GA
101YP2500X
Professional Counselor
Primary
LPC011938
GA
Other
Enumeration date
04/02/2019
Last updated
12/29/2022
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