Individual
LORI DENISE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
400 CUNNINGHAM WAY, DANVILLE, KY 40422-8339
(859) 236-5507
(502) 538-1148
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1041
(502) 538-1141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16480
KY
101YP2500X
Professional Counselor
LPCCCA00216361
KY
Other
Enumeration date
11/30/2015
Last updated
06/10/2016
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