MELISSA RAENAE MOORE

LONDON, KY
NPI1467231902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  275318)
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
MELISSA RAENAE MOORE CADC
1501 S MAIN ST STE H
LONDON, KY 40741-2091
Phone number: 606-393-6695
Mailing Address
MELISSA RAENAE MOORE CADC
4 GILLIAM ST
CORBIN, KY 40701-1520
Phone number: 606-401-7647