Mark Earl Moore, MA, LPC, NCC
Counselor, Mental Health in Farmington, MO. Individual provider (NPI-1).
NPI number1104748979
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1104748979
- Entity type
- Individual (NPI-1)
- Name
- Mark Earl Moore
- Credential
- MA, LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2026
- Certification date
- Jul 26, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2012041944 | MO | Yes |
| 101YP2500X | Counselor, Professional | 2012041944 | MO |
Practice location
209 Addie DrFarmington, MO 63640-3458
Phone 573-783-9758
Mailing address
209 Addie DrFarmington, MO 63640-3458
Phone 573-783-9758
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