Individual
VANESSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3200
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0926
KY
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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