Individual
JENA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
240 COUNTRY CLUB RD STE B, EUGENE, OR 97401-2479
(541) 343-7200
(844) 364-4271
Mailing address
1574 COBURG RD PMB 956, EUGENE, OR 97401
(541) 343-7200
(844) 364-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T1610
OR
Other
Enumeration date
01/22/2014
Last updated
10/14/2020
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