Individual
DR. JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LMFT
Contact information
Practice address
716 SUNSET VISTA DR, GEORGETOWN, TX 78628-3277
(919) 559-9544
Mailing address
716 SUNSET VISTA DR, GEORGETOWN, TX 78628-3277
(919) 559-9544
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203852
TX
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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