Individual
MRS. CONNY JAN MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
408 N KENDRICK ST, FLAGSTAFF CHILD AND FAMILY COUNSELING CENTER SUITE 3, FLAGSTAFF, AZ 86001-1582
(928) 774-6364
(928) 556-0504
Mailing address
2224 N LANTERN LN, FLAGSTAFF, AZ 86001-1133
(928) 774-6824
(928) 556-0504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0341
AZ
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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