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Dan Moore, M.S., L.A.C
NPI 1982733952 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1101 W 3rd St
Fordyce, AR 71742 - Phone
- (870) 352-5122
- Fax
- (870) 352-5127
- Organisation at this address
- Fordyce Counseling Clinic, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 64
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Arkansas