Provider Demographics
NPI:1326000563
Name:MOOR, JUDITH C (LMFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:C
Last Name:MOOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 E WONDER VIEW AVE # 326
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9647
Mailing Address - Country:US
Mailing Address - Phone:970-227-9577
Mailing Address - Fax:970-586-6193
Practice Address - Street 1:453 E WONDER VIEW AVE # 326
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9647
Practice Address - Country:US
Practice Address - Phone:970-227-9577
Practice Address - Fax:970-586-6193
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33101YA0400X
CO251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist