| Patrick M. Moore, Acsw, Lcsw, Pc | |
|
1945 W Royale Dr Muncie IN 47304-2265 | |
| (765) 288-7939 | |
| (765) 288-7841 |
| Full Name | Patrick M. Moore, Acsw, Lcsw, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1945 W Royale Dr, Muncie, Indiana |
| Authorized Official Name and Position | Tammy Lampke (ACCOUNTS MANAGER) |
| Authorized Official Contact | 7652887939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick M. Moore, Acsw, Lcsw, Pc 1945 W Royale Dr Muncie IN 47304-2265 Ph: (765) 288-7939 | Patrick M. Moore, Acsw, Lcsw, Pc 1945 W Royale Dr Muncie IN 47304-2265 Ph: (765) 288-7939 |
| NPI Number | 1073718623 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073718623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34001741A (Indiana) | Primary |
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