Individual
MELISSA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1949 SNOWBERRY LN, JOPLIN, MO 64804-5420
(417) 347-7860
(918) 430-0995
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
OK
104100000X
Social Worker
Primary
2021029427
MO
Other
Enumeration date
09/20/2014
Last updated
08/02/2021
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