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Imagine Moore, LPC-ASSOCIATE

NPI 1578159836 · on the registry since 2020

Practice

Address
716 W. Main Street
Waxahachie, TX 75165
Phone
(972) 765-1204

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
LA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas