Individual
JAYLEN O'NEAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7272 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-3921
(480) 389-6971
Mailing address
11287 N LUCKENBACH ST, SURPRISE, AZ 85388-3150
(951) 850-9438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-23035
AZ
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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