Individual
JASMINE PEREZ MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3420 E SHEA BLVD, #200, PHOENIX, AZ 85028-3345
(602) 909-8409
(480) 237-9643
Mailing address
PO BOX 545, SCOTTSDALE, AZ 85252-0545
(602) 909-8409
(480) 237-9643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13258
AZ
Other
Enumeration date
07/29/2009
Last updated
07/28/2010
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