JASON THOMAS MOORE

SANTA MONICA, CA
NPI1326805359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-05
Last Update Date2024-03-05
Business Address
JASON THOMAS MOORE
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
JASON THOMAS MOORE
670 W 9TH ST
SAN PEDRO, CA 90731-3108
Phone number: 424-482-6494