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Individual
JESSICA L MOORE
Active
Individual
JESSICA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00420600
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
37AC00712500
NJ
101YM0800X
Mental Health Counselor
Primary
37PC01277100
NJ
Other
Enumeration date
06/17/2022
Last updated
06/18/2026
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