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Individual

JASON LAMONT MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7608 JEFFRIES AVE, GARFIELD HEIGHTS, OH 44105-6514
(317) 889-3166
Mailing address
7608 JEFFRIES AVE, GARFIELD HEIGHTS, OH 44105-6514

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2103349
OH

Other

Enumeration date
01/06/2025
Last updated
01/06/2025
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