Individual
DENNIS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
951 HARMONY RD STE 101, EATONTON, GA 31024-9600
(478) 200-8783
Mailing address
3779 SUSSEX DR NE, MILLEDGEVILLE, GA 31061-7706
(816) 896-8953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013171
GA
Other
Enumeration date
06/15/2021
Last updated
10/14/2025
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