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Organization

MOOREHOUSE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI B MOOREHOUSE LPC-MHSP, SAP, LMHC, (PRESIDENT)
(423) 483-2376
Entity
Organization

Contact information

Practice address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376
(423) 975-0222
Mailing address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376
(423) 975-0222

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2788
TN

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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