Patrick Michael Moore, ACSW, LCSW

NPI #1518022458 in Marion, Indiana

Provider Information

NPI Number: 1518022458
Entity Type: Individual
Name: Patrick Michael Moore, ACSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: ACSW, LCSW
Enumeration Date: Dec 22, 2006
Last Updated: Mar 27, 2013

Practice Location

Address: 1700 E 38TH ST
City: Marion
State: Indiana
ZIP Code: 46953-4568
Phone: (765) 674-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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