Individual
MS. CANTERRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LICSW
Contact information
Practice address
5858 WENNINGHOFF RD STE 2, OMAHA, NE 68134-1911
(402) 512-3475
Mailing address
5858 WENNINGHOFF RD STE 2, OMAHA, NE 68134-1911
(402) 224-6249
(402) 206-2759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13650
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027143802
—
NE
Enumeration date
10/10/2023
Last updated
10/23/2025
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