| NPI | 1023195211 |
|---|---|
| Doing Business As | J.R. MOORE COUNSELING & PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MOORE Licensed Professional Counselor 2052-936-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2423) |
| 251S00000X Community/Behavioral Health (Licence: AL 2423) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-13 |