Individual
JODY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
(602) 230-5105
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-7007T
AZ
101YP2500X
Professional Counselor
Primary
23051
AZ
Other
Enumeration date
12/27/2021
Last updated
10/20/2025
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