Individual
HOLLY D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
212 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 646-4702
(770) 229-8893
Mailing address
212 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 646-4702
(770) 229-8893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000955
GA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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