Individual
MS. KATHLEEN P MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC PLMHP
Contact information
Practice address
2009 FRANKLIN ST, BELLEVUE, NE 68005-5055
(402) 292-7335
(402) 292-2110
Mailing address
10018 S 14TH ST, BELLEVUE, NE 68123-2460
(402) 292-1208
(402) 292-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
84
NE
101YM0800X
Mental Health Counselor
Primary
7143
NE
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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