Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1143 WHITE PINE CT, CINCINNATI, OH 45255-4747
(901) 833-3789
Mailing address
1143 WHITE PINE CT, CINCINNATI, OH 45255-4747
(901) 833-3789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1901316
OH
101YP2500X
Professional Counselor
Primary
2657
TN
101YP2500X
Professional Counselor
6129
OK
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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