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Organization

MOOREHOUSE GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI BLAKE MOOREHOUSE LPC/MHSP (ONWER)
(423) 483-2376
Entity
Organization

Contact information

Practice address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376
Mailing address
4132 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-2932
(423) 483-2376

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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