Individual
JEFFREY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6155 TOWER TOP, COLUMBIA, MD 21045-4042
(443) 538-3882
Mailing address
6155 TOWER TOP, COLUMBIA, MD 21045-4042
(443) 538-3882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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