Talasha D Moore, MA, CRC, LPC
Counselor in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1669986386
StatusActive
Last updated in NPPESMay 1, 2022
Details
- NPI
- 1669986386
- Entity type
- Individual (NPI-1)
- Name
- Talasha D Moore
- Credential
- MA, CRC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2017
- Certification date
- May 1, 2022
- Last updated
- May 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401019136 | MI | Yes |
| 225C00000X | Rehabilitation Counselor | 137516 | MI |
Practice location
555 Towner StYpsilanti, MI 48198-5723
Phone 734-544-3000 · Fax 734-544-6716
Mailing address
5229 W Michigan Ave Lot 326Ypsilanti, MI 48197-9169
Phone 734-985-1834
Other practice locations
32231 Schoolcraft Rd
Livonia, MI 48150-4312
Livonia, MI 48150-4312
Phone 734-266-6800
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