Individual
JASMINE NICHOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 875-2371
Mailing address
5340 GREAT OAK WAY APT F, COLUMBUS, OH 43213-4502
(678) 571-0601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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