Organization
MOORE BALANCED MINDS & THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE A MOORE LPC (PROVIDER/OWNER)
(312) 581-9399
Entity
Organization
Contact information
Practice address
1170A E GANNON DR, FESTUS, MO 63028-2604
(312) 581-9399
Mailing address
1170A E GANNON DR # A, FESTUS, MO 63028-2604
(312) 581-9399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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