Individual
ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2010 W CHESTER PIKE STE 314, HAVERTOWN, PA 19083-2737
(484) 724-5090
Mailing address
2010 W CHESTER PIKE STE 314, HAVERTOWN, PA 19083-2737
(484) 724-5090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC004740
PA
101YP2500X
Professional Counselor
Primary
PC004740
PA
Other
Enumeration date
04/08/2021
Last updated
11/03/2024
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