Doctor Name: | KRISTIN B MOORE |
NPI Number: | 1033534029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-A |
License Number: | A10475 |
Business Practice Address: | 582 W Main St Ste 1 Sylva, NC - 287795543 |
Business Phone Number: | 8283313010 |
Business Fax Number: | 8283313010 |
Mailing Address: | Po Box 232, DILLSBORO |
State: | NC |
Postal Code: | 287250232 |
Phone Number: | 8283313010 |
Fax Number: | 8283313010 |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A10475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |