person
Kalisa Moore
Mental Health Counselor in New York, New York
NPI 1295478717

Kalisa Moore is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Kalisa Moore practices in New York, NY. The NPI Number for Kalisa Moore is 1295478717 and holds a License No. P108510 (New York).

The current practice location address for Kalisa Moore is 136 Madison Ave, New York, NY and can be reached out via phone at 212-828-7473.

Location: 136 Madison Ave, New York, NY, 10016-6711
person
Provider Profile Details
NPI Number
1295478717
Provider Name
Kalisa Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
136 Madison Ave, New York, NY, 10016-6711
Phone Number
212-828-7473
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
136 Madison Ave
City
State
Zip
10016-6711
Phone Number
212-828-7473
Fax Number
person
Provider Business Mailing Address Details
Address
136 Madison Ave
City
State
Zip
10016-6711
Phone Number
212-828-7473
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P108510 (New York)
Definition
Definition to come...
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