Individual
JESSICA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 SANDERS VW APT 102, COLORADO SPRINGS, CO 80916-3817
(719) 466-3603
Mailing address
4210 SANDERS VW APT 102, COLORADO SPRINGS, CO 80916-3817
(719) 466-3603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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