Individual
JENNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED, LAPC
Contact information
Practice address
401 RIGHTER ST, PHILADELPHIA, PA 19128-3736
(484) 653-7359
Mailing address
401 RIGHTER ST, PHILADELPHIA, PA 19128-3736
(484) 653-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC001555
PA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
04/21/2026
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