Individual
DANIELLE COLLEEN DOHERTY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, BCBA
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3285
Mailing address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004938
VA
103K00000X
Behavior Analyst
0133000474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992959928
—
VA
Enumeration date
02/24/2011
Last updated
04/30/2015
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