Individual
MS. IRENA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
9 ASH DR, NEPTUNE, NJ 07753-3605
(973) 600-4975
Mailing address
1773 RALEIGH CT W APT 9B, OCEAN, NJ 07712-2628
(973) 600-4975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00280400
NJ
101YP2500X
Professional Counselor
Primary
37PC00580400
NJ
Other
Enumeration date
05/14/2018
Last updated
04/15/2025
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