| Daniel Moore Lcpc Llc | |
|
903 Dryden St Silver Spring MD 20901-1826 | |
| (202) 360-9012 | |
| Not Available |
| Full Name | Daniel Moore Lcpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 903 Dryden St, Silver Spring, Maryland |
| Authorized Official Name and Position | Daniel Anthony Moore (CEO) |
| Authorized Official Contact | 2023609012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Moore Lcpc Llc 9466 Georgia Ave # 1197 Silver Spring MD 20910-1456 Ph: () - | Daniel Moore Lcpc Llc 903 Dryden St Silver Spring MD 20901-1826 Ph: (202) 360-9012 |
| NPI Number | 1669240768 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 1557712841 |
|---|---|
| Medicare Enrollment ID | O20240118000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669240768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Daniel Anthony Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003301342 PECOS PAC ID: 2466803754 Enrollment ID: I20240118000059 |
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