Individual
ANDREA JANICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 ELM ST UNIT 3, MONTPELIER, VT 05602-2814
(315) 560-2406
Mailing address
11 GEORGE ST, MORRISVILLE, VT 05661-6046
(315) 560-2406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135538
VT
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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