Individual
REBEKAH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
Mailing address
1382 S CHOLLA PL, CHANDLER, AZ 85286-6218
(480) 322-4593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22134
AZ
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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