JASON THOMAS MOORE

TORRANCE, CA
NPI1326805359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1544950124)
Enumeration Date2024-03-05
Last Update Date2025-05-29
Business Address
JASON THOMAS MOORE
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1587
Mailing Address
JASON THOMAS MOORE
1211 HOFFMAN AVE APT 12
LONG BEACH, CA 90813-3764
Phone number: 424-482-6494