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Susan Lynette Moore
Professional Counselor in Nacogdoches, Texas
NPI 1467178020

Susan Lynette Moore is a Professional Counselor based in Nacogdoches, TX and is specialized in Professional. Susan Lynette Moore practices in Nacogdoches, TX. The NPI Number for Susan Lynette Moore is 1467178020 and holds a License No. 81860 (Texas).

The current practice location address for Susan Lynette Moore is 1324 Pruitt Hill Dr Apt 705, Nacogdoches, TX and can be reached out via phone at 254-855-2805.

Location: 1324 Pruitt Hill Dr Apt 705, Nacogdoches, TX, 75961-4634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467178020
Provider Name
Susan Lynette Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1324 Pruitt Hill Dr Apt 705, Nacogdoches, TX, 75961-4634
Phone Number
254-855-2805
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1324 Pruitt Hill Dr Apt 705
City
Nacogdoches
State
Texas
Zip
75961-4634
Phone Number
254-855-2805
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Pruitt Hill Dr Apt 705
City
Nacogdoches
State
Texas
Zip
75961-4634
Phone Number
254-855-2805
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
81860 (Texas)
Definition
Definition to come...
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