Individual
JENNIFER DANLEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
3040 17TH AVE S, MINNEAPOLIS, MN 55407-1819
(317) 987-6394
Mailing address
3040 17TH AVE S, MINNEAPOLIS, MN 55407-1819
(317) 987-6394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5295
MN
Other
Enumeration date
09/18/2017
Last updated
11/30/2025
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