Whalio Doctors

NPI 1376059840

Danielle Clark Moore, MSCRCLPCA

Practitioner Rehabilitation Counselor Winston Salem, NC

Practice location

Address
500 W 4th St STE 203, Winston Salem, NC 27101-2782
Phone
(336) 391-1601
Mailing address
5510 Brookfield Ridge Dr, Winston Salem, NC 27105-1757

Registered specialties (2)

Rehabilitation Counselor Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00282458 (NC)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence A13571 (NC)

Registry record

NPI
1376059840
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Dec 2017
Record last updated
20 Dec 2017

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.