| Doctor Name: | JOSEPH HAROLD MOORE |
| NPI Number: | 1205030566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 6401006843 |
| Business Practice Address: | 800 Livingston Blvd Ste A Gaylord, MI - 497358351 |
| Business Phone Number: | 9897327558 |
| Business Fax Number: | 9897328672 |
| Mailing Address: | 5406 Golfview Ln, GAYLORD |
| State: | MI |
| Postal Code: | 497358924 |
| Phone Number: | 2315462242 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6401006843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |