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Individual

ANGELA L. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-MHSP, LCMHC, NCC

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7667
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7667

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107471499
TN

Other

Enumeration date
01/26/2016
Last updated
01/16/2025
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