Individual
CAROL L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.; LPC
Contact information
Practice address
1720 MARS HILL RD NW, STE. 124-308, ACWORTH, GA 30101-7127
(678) 919-1077
(678) 317-3991
Mailing address
1720 MARS HILL RD NW STE 124-308, ACWORTH, GA 30101-7127
(678) 919-1077
(678) 317-3991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC005351
GA
101YP2500X
Professional Counselor
Primary
LPC005351
GA
Other
Enumeration date
09/22/2008
Last updated
09/16/2024
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