JACKIE RAY MOORE

NEW ORLEANS, LA
NPI1447746086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
JACKIE RAY MOORE
200 S BROAD ST STE 7
NEW ORLEANS, LA 70119-6447
Phone number: 504-312-3331
Mailing Address
JACKIE RAY MOORE
200 S BROAD ST STE 7
NEW ORLEANS, LA 70119-6447
Phone number: