Individual
AMY J. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CRC
Contact information
Practice address
1200 LUZERNE STREET EXT, JOHNSTOWN, PA 15905-2153
(814) 321-3230
Mailing address
1200 LUZERNE STREET EXT, JOHNSTOWN, PA 15905-2153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC006966
PA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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