Individual
CHRISTARDRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Mailing address
2513 FERRAND ST, MONROE, LA 71201-3210
(318) 362-3270
(318) 362-5051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0305049
AR
101YP2500X
Professional Counselor
Primary
4636
LA
101YP2500X
Professional Counselor
P0704014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3758342
—
LA
Enumeration date
03/22/2006
Last updated
08/30/2022
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