Individual
MS. CARLA S. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., C.A.D.C. II
Contact information
Practice address
709 W. HOLME, NORTON, KS 67654
(785) 877-5101
(785) 877-3903
Mailing address
709 W. HOLME, NORTON, KS 67654
(785) 877-5101
(785) 877-3903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC 1917
KS
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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