Doctor Name: | JUDITH C MOOR |
NPI Number: | 1326000563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 33 |
Business Practice Address: | 453 E Wonder View Ave # 326 Estes Park, CO - 805179647 |
Business Phone Number: | 9702279577 |
Business Fax Number: | 9705866193 |
Mailing Address: | 453 E Wonder View Ave # 326, ESTES PARK |
State: | CO |
Postal Code: | 805179647 |
Phone Number: | 9702279577 |
Fax Number: | 9705866193 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 33 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |