| Mr Dan Moore, MS, LAC | |
|
1101 W 3rd St, Fordyce, AR 71742-3014 | |
| (870) 352-5122 | |
| (870) 352-5127 |
| Full Name | Mr Dan Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1101 W 3rd St, Fordyce, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982733952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A0011054 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dan Moore, MS, LAC 1101 W 3rd St, Fordyce, AR 71742-3014 Ph: (870) 352-5122 | Mr Dan Moore, MS, LAC 1101 W 3rd St, Fordyce, AR 71742-3014 Ph: (870) 352-5122 |
Judy Prince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Brandy Tydingco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Lesley Self Ford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6311 Fax: 870-352-0223 | |
Frankie Hickman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Jeanna Pennington, LPC Counselor Medicare: Medicare Enrolled Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Tracy Ann Pefferkorn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Filmore St., Fordyce, AR 71742 Phone: 870-313-1579 Fax: 870-352-5127 | |
Mrs. Roselle Roberson, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 3rd St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 |