NPI | 1407263593 |
---|---|
Professional Name | K DEVONNE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15759) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20215) | |
Enumeration Date | 2014-07-21 |
Last Update Date | 2024-05-01 |