Individual
GWENDOLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LCMHC
Contact information
Practice address
1633 NEW GARDEN RD UNIT 211, GREENSBORO, NC 27410-2001
(336) 402-6688
(336) 458-9696
Mailing address
1633 NEW GARDEN RD UNIT 211, GREENSBORO, NC 27410-2001
(336) 402-6688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15386
NC
101YP2500X
Professional Counselor
15386
NC
Other
Enumeration date
01/19/2020
Last updated
04/23/2025
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