| NPI | 1528835220 |
|---|---|
| Former Legal Business Name | GEANEEN L MOORE, MA, LPC |
| Entity Type | Organization |
| Authorized Contact | GEANEEN MOORE Owner/Lcmhc 980-999-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |