NPI 1073821963

Charlotte a Moore, LPC

Practitioner Professional Counselor Lebanon, MO

Practice location

Address: 104 Crescent Dr, Lebanon, MO 65536-3301
Phone: (417) 588-5885
Fax: (417) 588-4296

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2010032196 (MO)

Other Counselor providers in Missouri →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2010032196 (MO)

Registry record

NPI: 1073821963
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2010
Record last updated: 30 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.