Female

Katelyn R. Moore LPC, ATR

Professional Counselor in Wake Forest, NC(View on Map)

Full Name

Katelyn Richelle Moore LPC, ATR

NPI Number

1477038859

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/01/2018

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

12662

Contact
Information

Purpose

Mailing
Location

Address

110 E OAK AVE
110 E OAK AVE

City

Wake Forest
Wake Forest

State

NC
NC

Postal Code

27587-2152
27587-2152

Country

US
US

Telephone Number

(919) 601-3706
(919) 601-3706

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/28/2023

Provider Address

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