Individual
CEJAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAE, LPCC
Contact information
Practice address
948 ELM ST STE 2, BOWLING GREEN, KY 42101-2277
(270) 266-1188
Mailing address
948 ELM ST STE 2, BOWLING GREEN, KY 42101-2277
(270) 266-1188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
N/A
—
Enumeration date
12/08/2021
Last updated
08/07/2024
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