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Organization
SOLACE GROVE PSYCHOTHERAPY
Active
Organization
SOLACE GROVE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ALEXANDER MOORE PH.D. (FOUNDER/PSYCHOLOGIST)
(301) 272-5080
Entity
Organization
Contact information
Practice address
6325 WOODSIDE CT, COLUMBIA, MD 21046-1017
(410) 886-6202
Mailing address
6325 WOODSIDE CT, COLUMBIA, MD 21046-1017
(410) 886-6202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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