person
Alisha Marie Moore, LPCC
Professional Counselor in Ashland, Kentucky
NPI 1114030822

Alisha Marie Moore is a Professional Counselor based in Ashland, KY and is specialized in Professional. Alisha Marie Moore practices in Ashland, KY and has the professional credentials of LPCC. The NPI Number for Alisha Marie Moore is 1114030822 and holds a License No. 105832 (Kentucky).

The current practice location address for Alisha Marie Moore is 3701 Lansdowne Drive, Ashland, KY and can be reached out via phone at 606-324-3005 and via fax at 606-329-1530. You can also correspond with Alisha Marie Moore through the mailing address at PO BOX 790, ASHLAND, KY - 41105-0790 (mailing address contact number: 606-329-8588).

Location: 3701 Lansdowne Drive, Ashland, KY, 41105-0790
person
Provider Profile Details
NPI Number
1114030822
Provider Name
Alisha Marie Moore
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3701 Lansdowne Drive, Ashland, KY, 41105-0790
Phone Number
606-324-3005
Fax Number
606-329-1530
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11754980 01 CAQH
000000321261 01 ANTHEM BCBS
7100283580 05 KY
institution
Provider Business Practice Location Address Details
Address
3701 Lansdowne Drive
City
State
Zip
41102
Phone Number
606-324-3005
Fax Number
606-329-1530
person
Provider Business Mailing Address Details
Address
3701 Lansdowne Drive
City
State
Zip
41102
Phone Number
606-324-3005
Fax Number
606-329-1530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
105832 (Kentucky)
Definition
Definition to come...
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