| Doctor Name: | DEBRA S MOORE |
| NPI Number: | 1063624690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. INTERN |
| License Number: | 59919 |
| Business Practice Address: | 408 W Avenue F Midlothian, TX - 760652963 |
| Business Phone Number: | 9727230044 |
| Business Fax Number: | 9727752002 |
| Mailing Address: | 1213 Nutting St, CEDAR HILL |
| State: | TX |
| Postal Code: | 751048135 |
| Phone Number: | 9722933644 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 59919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |