Individual
MR. RONALD D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11414 W CENTER RD, #215, OMAHA, NE 68144-4419
(402) 334-0628
(402) 334-0629
Mailing address
14622 MONROE ST, OMAHA, NE 68137-3947
(402) 926-6571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9628
NE
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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