Individual
HEATHER RHEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCIII
Contact information
Practice address
1224 N MODOC AVE UNIT 47, MEDFORD, OR 97504-3696
(970) 373-8276
Mailing address
1224 N MODOC AVE UNIT 47, MEDFORD, OR 97504-3696
(970) 373-8276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PROFESSIONALLICENSE
—
1041C0700X
Clinical Social Worker
Primary
L14195
OR
Other
Enumeration date
01/14/2010
Last updated
01/09/2024
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