person
Virginia M Moore, LMHC,LSW,MSED,
Mental Health Counselor in Fort Wayne, Indiana
NPI 1821011628

Virginia M Moore is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Virginia M Moore practices in Fort Wayne, IN and has the professional credentials of LMHC,LSW,MSED,. The NPI Number for Virginia M Moore is 1821011628 and holds a License No. 33000780A (Indiana).

The current practice location address for Virginia M Moore is 909 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-481-2700 and via fax at 260-481-2717.

Location: 909 E State Blvd, Fort Wayne, IN, 46805-3404
person
Provider Profile Details
NPI Number
1821011628
Provider Name
Virginia M Moore
Credential
LMHC,LSW,MSED,
Provider Entity Type
Individual
Gender
Female
Address
909 E State Blvd, Fort Wayne, IN, 46805-3404
Phone Number
260-481-2700
Fax Number
260-481-2717
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
909 E State Blvd
City
State
Zip
46805-3404
Phone Number
260-481-2700
Fax Number
260-481-2717
person
Provider Business Mailing Address Details
Address
909 E State Blvd
City
State
Zip
46805-3404
Phone Number
260-481-2700
Fax Number
260-481-2717
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
33000780A (Indiana)
Definition
Definition to come...
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