Individual
ANNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD, #212, MAITLAND, FL 32751-7270
(800) 840-2528
Mailing address
1009 MAITLAND CENTER COMMONS BLVD, #212, MAITLAND, FL 32751-7270
(800) 840-2528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12356400
—
FL
Enumeration date
03/23/2010
Last updated
04/28/2017
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