Individual
MR. JONATHAN PHILIP MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2670 MEMORIAL BLVD STE E2, MURFREESBORO, TN 37129-5134
(615) 668-6602
Mailing address
2670 MEMORIAL BLVD STE E2, MURFREESBORO, TN 37129-5134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1264
TN
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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