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Tamara Nicole Moore, PLPC
Mental Health Counselor in Lake St Louis, Missouri
NPI 1376241976

Tamara Nicole Moore is a Mental Health Counselor based in Hazelwood, MO and is specialized in Mental Health. Tamara Nicole Moore practices in Lake St Louis, MO and has the professional credentials of PLPC. The NPI Number for Tamara Nicole Moore is 1376241976 and holds a License No. 2023007047 (Missouri).

The current practice location address for Tamara Nicole Moore is 100 Centre On The Lk, Lake St Louis, MO and can be reached out via phone at 314-323-7811.

Location: 100 Centre On The Lk, Lake St Louis, MO, 63042-3744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376241976
Provider Name
Tamara Nicole Moore
Credential
PLPC
Provider Entity Type
Individual
Gender
Female
Address
100 Centre On The Lk, Lake St Louis, MO, 63042-3744
Phone Number
314-323-7811
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Centre On The Lk
City
Lake St Louis
State
Missouri
Zip
63367-1369
Phone Number
314-323-7811
Fax Number
person
Provider Business Mailing Address Details
Address
100 Centre On The Lk
City
Lake St Louis
State
Missouri
Zip
63367-1369
Phone Number
314-323-7811
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2023007047 (Missouri)
Definition
Definition to come...
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