Individual
JENNIFER NICHOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
3200 PATTERSON PLACE DR, APT 207, SAINT LOUIS, MO 63129-7006
(314) 603-8192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008032303
MO
Other
Enumeration date
08/11/2008
Last updated
10/09/2015
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