| Doctor Name: | JULIE A. MOORE |
| NPI Number: | 1114038809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, LIMHP |
| License Number: | 1012 |
| Business Practice Address: | 3720 Avenue A Suite E Kearney, NE - 688478169 |
| Business Phone Number: | 3082345644 |
| Business Fax Number: | 3082345652 |
| Mailing Address: | 3720 Avenue A, Suite E KEARNEY |
| State: | NE |
| Postal Code: | 688478169 |
| Phone Number: | 3082345644 |
| Fax Number: | 3082345652 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1012 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |