MR. John Michael Moore, LAPC

NPI #1336413731 in Augusta, Georgia

Provider Information

NPI Number: 1336413731
Entity Type: Individual
Name: MR. John Michael Moore, LAPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LAPC
Enumeration Date: Mar 2, 2012
Last Updated: Mar 2, 2012

Practice Location

Address: 3643 WALTON WAY EXT
Address 2: BLDG
City: Augusta
State: Georgia
ZIP Code: 30909-4507
Phone: (706) 421-6039

Specialties & Taxonomy Codes

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

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