Organization
JENNIFER L MOORE, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE MOORE LMFT (OWNER)
(864) 398-9418
Entity
Organization
Contact information
Practice address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 619-1286
(803) 792-4055
Mailing address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 619-1286
(803) 792-4055
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
05/25/2021
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