Individual
MS. TERRY EILEEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
910 PIERREMONT ROAD, SUITE 410, SHREVEPORT, LA 71106
(318) 865-8616
(318) 865-8617
Mailing address
915 ELMWOOD STREET, SHREVEPORT, LA 71104
(318) 453-5774
(318) 865-8617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3247
LA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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