Individual
MS. BREANNA KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC, NCC
Contact information
Practice address
2127 14TH AVE S, BIRMINGHAM, AL 35205-3900
(205) 575-8216
Mailing address
2127 14TH AVE S, BIRMINGHAM, AL 35205-3900
(205) 575-8216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2918A
AL
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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