person
Nicholaus Owen Moore
Mental Health Counselor in Murray, Utah
NPI 1649914409

Nicholaus Owen Moore is a Mental Health Counselor based in Murray, UT and is specialized in Mental Health. Nicholaus Owen Moore practices in Murray, UT. The NPI Number for Nicholaus Owen Moore is 1649914409 and holds a License No. 12735586-6009 (Utah).

The current practice location address for Nicholaus Owen Moore is 345 E 4500 S Ste 100, Murray, UT and can be reached out via phone at 801-465-5111.

Location: 345 E 4500 S Ste 100, Murray, UT, 84107-3991
person
Provider Profile Details
NPI Number
1649914409
Provider Name
Nicholaus Owen Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
345 E 4500 S Ste 100, Murray, UT, 84107-3991
Phone Number
801-465-5111
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
345 E 4500 S Ste 100
City
State
Zip
84107-3991
Phone Number
801-465-5111
Fax Number
person
Provider Business Mailing Address Details
Address
345 E 4500 S Ste 100
City
State
Zip
84107-3991
Phone Number
801-465-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12735586-6009 (Utah)
Definition
Definition to come...
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