Individual
JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
Mailing address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
03/30/2021
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