JAKE MOORE

BOULDER, CO
NPI1710227327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-02-18
Last Update Date2013-02-18
Business Address
-- JAKE MOORE BA
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
Mailing Address
-- JAKE MOORE BA
13830 DOGLEG LN
BROOMFIELD, CO 80023-9571
Phone number: 720-227-1206