Individual
CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOCIATE
Contact information
Practice address
1540 SOUTHTOWN DR STE 106, GRANBURY, TX 76048-2667
(855) 579-5323
(855) 579-5323
Mailing address
PO BOX 121835, ARLINGTON, TX 76012-7835
(855) 579-5323
(855) 579-5323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
89400
TX
101YP2500X
Professional Counselor
81522
TX
Other
Enumeration date
11/02/2022
Last updated
01/21/2025
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