Individual
LISA RENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMFT
Contact information
Practice address
11400 JOHNSON DR, SHAWNEE, KS 66203-2642
(785) 272-0778
Mailing address
13122 HERITAGE DR, BONNER SPRINGS, KS 66012-9602
(785) 424-3582
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
KS
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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