Individual
KELLYN DESIREE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1101 W MOANA LN, SUITE 2, RENO, NV 89509-4775
(775) 337-2394
(775) 337-9570
Mailing address
3680 MEEKS WAY, RENO, NV 89503-1962
(775) 815-8545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/16/2012
Last updated
03/21/2012
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