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Stephen D Moore
Counselor in Ruidoso, New Mexico
NPI 1285948919

Stephen D Moore is a Counselor based in Alto, NM. Stephen D Moore practices in Ruidoso, NM. The NPI Number for Stephen D Moore is 1285948919 and holds a License No. (New Mexico).

The current practice location address for Stephen D Moore is 206 Porr Dr, Ruidoso, NM and can be reached out via phone at 575-630-0571 and via fax at 575-630-0574.

Location: 206 Porr Dr, Ruidoso, NM, 88312-1044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285948919
Provider Name
Stephen D Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
206 Porr Dr, Ruidoso, NM, 88312-1044
Phone Number
575-630-0571
Fax Number
575-630-0574
Provider Enumeration Date
08/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
206 Porr Dr
City
Ruidoso
State
New Mexico
Zip
88345-6713
Phone Number
575-630-0571
Fax Number
575-630-0574
person
Provider Business Mailing Address Details
Address
206 Porr Dr
City
Ruidoso
State
New Mexico
Zip
88345-6713
Phone Number
575-630-0571
Fax Number
575-630-0574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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