Individual
MR. JEFFRY DEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LAMFT
Contact information
Practice address
10201 W MARKHAM ST STE 324, LITTLE ROCK, AR 72205-2195
(501) 502-0317
Mailing address
PO BOX 7186, SHERWOOD, AR 72124-7186
(501) 502-0317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2403003
AR
106H00000X
Marriage & Family Therapist
F2108002
AR
Other
Enumeration date
09/14/2021
Last updated
03/13/2024
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