Ashley Moore, LCPC
NPI #1578124590 in South Portland, Maine
Provider Information
- NPI Number
- 1578124590
- Entity Type
- Individual
- Name
- Ashley Moore, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Jun 21, 2019
- Last Updated
- Apr 8, 2023
Practice Location
- Address
- 75 JOHN ROBERTS RD BLDG B
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-6967
- Phone
- (617) 501-5301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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