Individual
JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
296 SW COLUMBIA ST, BEND, OR 97702-1020
(541) 550-7940
Mailing address
19789 DRY CANYON AVE, BEND, OR 97702-3034
(503) 487-7885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
07/10/2026
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