Individual
JASMINA R. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 447-4775
Mailing address
17635 GRAMA RDG, COLORADO SPRINGS, CO 80908-1359
(719) 358-9332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
914
CO
106H00000X
Marriage & Family Therapist
MFC34960
CA
Other
Enumeration date
03/06/2007
Last updated
02/21/2012
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