Individual
ASHLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3616 YOUREE DR, SHREVEPORT, LA 71105-2122
(318) 779-0104
(318) 421-3193
Mailing address
1510 CLARENCE ST, BOSSIER CITY, LA 71111-3624
(318) 820-9632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
03/26/2025
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