Individual
DR. JACOB ALEXANDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
Mailing address
5822 BARNWOOD PL, COLUMBIA, MD 21044-2842
(301) 272-5080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0611
MD
103TC1900X
Counseling Psychologist
Primary
07251
MD
Other
Enumeration date
08/09/2021
Last updated
03/07/2025
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