Moore, Audrey Durand

Moore, Audrey Durand is an individual health care provider with primary practice located at 703 Thimble Shoals Blvd Suite A-3, Newport News VA 23606-2576. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Audrey Durand can be contacted via phone (757) 873-2307.

Contact Information

Primary practice address
703 Thimble Shoals Blvd Suite A-3 Newport News VA 23606-2576
Phone: (757) 873-2307
Fax: (757) 873-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 07010022742 Virginia

Profile Details

NPI number 1467412403
LBN Legal business name Moore, Audrey Durand
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467412403 NPPES
Virginia MEDICAID 0101102189

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