Individual
KACEY LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 MISSIONARY RDG, BIRMINGHAM, AL 35242-5236
(205) 967-3660
Mailing address
100 MISSIONARY RDG, BIRMINGHAM, AL 35242-5236
(205) 967-3660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3173
AL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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