Individual
MRS. JESSICA RIVERS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 BRISTOL HWY, JOHNSON CITY, TN 37601-1400
(423) 283-6503
Mailing address
1757 POWDER BRANCH RD, JOHNSON CITY, TN 37601-6221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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