Individual
DUANE W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
608 E BOULEVARD, KOKOMO, IN 46902
(765) 455-6010
(765) 455-6017
Mailing address
608 E BOULEVARD, KOKOMO, IN 46902
(765) 455-6010
(765) 455-6017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39001254A
IN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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