JASON SHANE MOORE

LONGVIEW, TX
NPI1811839111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17751)
Enumeration Date2026-04-07
Last Update Date2026-04-07
Business Address
JASON SHANE MOORE LCDC
3110 H G MOSLEY PKWY STE 104
LONGVIEW, TX 75605-2941
Phone number: 903-758-2471
Mailing Address
JASON SHANE MOORE LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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