Individual
ERIC SHANE MOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4730
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014352
MI
101YP2500X
Professional Counselor
Primary
6401014352
MI
Other
Enumeration date
04/11/2013
Last updated
01/14/2026
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