person
Mr. Cooper Thomas Moore, LMHC
Mental Health Counselor in St Augustine, Florida
NPI 1902459480

Cooper Thomas Moore is a Mental Health Counselor based in St Augustine, FL and is specialized in Mental Health. Cooper Thomas Moore practices in St Augustine, FL and has the professional credentials of LMHC. The NPI Number for Cooper Thomas Moore is 1902459480 and holds a License No. MH18603 (Florida).

The current practice location address for Cooper Thomas Moore is 1301 Plantation Island Dr S Ste 202A, St Augustine, FL and can be reached out via phone at 904-318-8500.

Location: 1301 Plantation Island Dr S Ste 202A, St Augustine, FL, 32080-3111
person
Provider Profile Details
NPI Number
1902459480
Provider Name
Cooper Thomas Moore
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1301 Plantation Island Dr S Ste 202A, St Augustine, FL, 32080-3111
Phone Number
904-318-8500
Fax Number
Provider Enumeration Date
07/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Plantation Island Dr S Ste 202A
City
State
Zip
32080-3111
Phone Number
904-318-8500
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Plantation Island Dr S Ste 202A
City
State
Zip
32080-3111
Phone Number
904-318-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH18603 (Florida)
Definition
Definition to come...
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