Individual
MS. JEANNE MARIE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 E 24TH AVE, SUITE 4, EUGENE, OR 97405-2907
(541) 684-9797
(541) 344-5599
Mailing address
2852 WILLAMETTE ST, PMB #103, EUGENE, OR 97405-8200
(541) 684-9797
(541) 344-5599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2996
OR
1041C0700X
Clinical Social Worker
LCS13412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77459698Z
UNITED BEHAVIORAL HEALTH
—
Enumeration date
02/06/2006
Last updated
07/08/2007
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