Individual
KATHERINE MOORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
32 RESORT WAY, ELLSWORTH INTERNAL MEDICINE, ELLSWORTH, ME 04605-1717
(207) 664-5480
(207) 664-5490
Mailing address
50 UNION ST, MAINE COAST MEMORIAL HOSPITAL, ELLSWORTH, ME 04605-1586
(204) 664-5480
(207) 664-5490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R031929
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404250000
BCHP
ME
Enumeration date
06/02/2006
Last updated
07/24/2008
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