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Individual

DR. JEFFREY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, S-LPC, NCC

Contact information

Practice address
1600 4TH AVE N, BESSEMER, AL 35020-5711
(205) 703-2020
(205) 957-6601
Mailing address
PO BOX 11642, BIRMINGHAM, AL 35202-1642

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2423
103TC1900X
Counseling Psychologist
2423

Other

Enumeration date
11/06/2012
Last updated
11/13/2015
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