Individual
MRS. LISA RAINEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5726 MARLIN RD., STE. 200, CHATTANOOGA, TN 37411
(423) 954-8890
(423) 954-8880
Mailing address
5750 LAKE RESORT DR, APT. G107, CHATTANOOGA, TN 37415-7037
(423) 954-8890
(423) 954-8880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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