Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS VALAIRE LATRISHA MOORE
ActiveMISS VALAIRE LATRISHA MOORE is a Counselor healthcare provider located in JACKSON, Georgia. NPI 1124642855 is currently active in the NPPES registry. Verify at CMS.
Counselor · JACKSON, GA
Registration Details
- NPI Number
- 1124642855
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2020 (6.0308978383316 yrs)
- Last Updated
- Mar 28, 2023
- License
-
562615 (GA)
Practice Information
- Address
-
130 CAMELLIA CTJACKSON, GA, 302331108Browse GA providers · Browse ZIP 30233
- Phone
- 7705707830
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.