Individual
AMY LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
875 W. MORENO, COLORADO SPRINGS, CO 80905
(719) 572-6100
(719) 572-6299
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0012016
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2008
Last updated
12/09/2014
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