Individual
MRS. JULIANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2692 N DETTMAN RD, JACKSON, MI 49201-8837
(517) 612-9902
Mailing address
600 HARWOOD ST, JACKSON, MI 49203-3016
(517) 914-3935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401225725
MI
Other
Enumeration date
11/10/2022
Last updated
12/08/2025
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