Individual
JEHNIECE MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3908 NINE MILE RD, RICHMOND, VA 23223-4913
(804) 727-8100
(804) 236-9118
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015525
VA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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