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Individual
MRS. JENNIFER L. MOORE
Active
Individual
MRS. JENNIFER L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC #8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8858
BOARD OF ALLIED MENTAL HEALTH
MA
Enumeration date
09/10/2010
Last updated
07/21/2022
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