Individual
EMORY W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4481 CORRALES RD STE 9, CORRALES, NM 87048-8615
(505) 554-9099
Mailing address
PO BOX 94508, ALBUQUERQUE, ALBUQUERQUE, NM 87199
(505) 384-7352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
121711
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83276319
—
NM
Enumeration date
10/23/2006
Last updated
08/16/2017
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