Stefanie Moore, LPC

NPI #1285266858 in Tyrone, Georgia

Provider Information

NPI Number: 1285266858
Entity Type: Individual
Name: Stefanie Moore, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Feb 11, 2020
Last Updated: Nov 10, 2021

Practice Location

Address: 100 LLOYD AVE STE E
City: Tyrone
State: Georgia
ZIP Code: 30290-2157
Phone: (470) 215-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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