Individual
CHANDLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4919 CANAL ST, NEW ORLEANS, LA 70119-5848
(504) 483-9883
Mailing address
143 AVALON WAY, METAIRIE, LA 70001-5517
(850) 529-7752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2022
Last updated
11/08/2022
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