Provider Demographics
NPI:1700195641
Name:MOORE, HELEN REBECCA (BS)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:REBECCA
Last Name:MOORE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4425 S JONES BLVD
Mailing Address - Street 2:SUITE D3
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3370
Mailing Address - Country:US
Mailing Address - Phone:702-991-3150
Mailing Address - Fax:866-658-4052
Practice Address - Street 1:4425 S JONES BLVD
Practice Address - Street 2:SUITE D3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3370
Practice Address - Country:US
Practice Address - Phone:702-991-3150
Practice Address - Fax:866-658-4052
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor