Individual
MRS. JANELL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHP
Contact information
Practice address
107 N WATER ST, ROCK PORT, MO 64482
(660) 253-0601
Mailing address
107 NORTH WATER STREET, MARYVILLE, MO 64468
(660) 253-0601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013033712
MO
Other
Enumeration date
07/02/2008
Last updated
09/05/2018
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