Individual
MERRITT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC , AADC
Contact information
Practice address
2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 25177-2074
(304) 766-0060
Mailing address
2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 25177-2074
(304) 766-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1024
WV
101YP2500X
Professional Counselor
Primary
1024
WV
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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