Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 303-5743
Mailing address
120 PERICLES ST, LAFAYETTE, LA 70506-6099
(337) 303-5743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2238
LA
Other
Enumeration date
05/11/2009
Last updated
03/12/2026
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