person
Patrick Michael Moore, ACSW,LCSW
Mental Health Counselor in Marion, Indiana
NPI 1518022458

Patrick Michael Moore is a Mental Health Counselor based in Marion, IN and is specialized in Mental Health. Patrick Michael Moore practices in Marion, IN and has the professional credentials of ACSW,LCSW. The NPI Number for Patrick Michael Moore is 1518022458 and holds a License No. 34001741 (Indiana).

The current practice location address for Patrick Michael Moore is 1700 E 38Th St, Marion, IN and can be reached out via phone at 765-674-3321 and via fax at 765-677-5115. You can also correspond with Patrick Michael Moore through the mailing address at 1700 E 38TH ST, MARION, IN - 46953-4568 (mailing address contact number: 765-674-3321).

Location: 1700 E 38Th St, Marion, IN, 46953-4568
person
Provider Profile Details
NPI Number
1518022458
Provider Name
Patrick Michael Moore
Credential
ACSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
1700 E 38Th St, Marion, IN, 46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5115
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000328198 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
1700 E 38Th St
City
State
Zip
46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5115
person
Provider Business Mailing Address Details
Address
1700 E 38Th St
City
State
Zip
46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34001741 (Indiana)
Definition
Definition to come...
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