Individual
ANGELA SMITH-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T - 0153011
NM
101YP2500X
Professional Counselor
Primary
0176961
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/01/2008
Last updated
05/03/2017
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