Individual
MRS. JEAN GLADYS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
67 BUCK RD STE B22, HUNTINGDON VALLEY, PA 19006-1538
(215) 275-7134
Mailing address
8513 MANSFIELD AVE, PHILADELPHIA, PA 19150-3207
(215) 275-7134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
06/13/2025
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