Doctor Name: | DR. CHARLENE ANNETTE MOORE-PETERSON |
NPI Number: | 1730375486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D, LPCI |
License Number: | |
Business Practice Address: | 306 Laurens St Nw Aiken, SC - 298013968 |
Business Phone Number: | 8036434263 |
Business Fax Number: | |
Mailing Address: | 306 Laurens St Nw, AIKEN |
State: | SC |
Postal Code: | 298013968 |
Phone Number: | 8036464263 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |