Individual
MRS. JENNIFER LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
3535 FISHINGER BLVD STE 110, HILLIARD, OH 43026-2000
(614) 545-9773
(614) 689-0184
Mailing address
1066 LEXINGTON AVE, MANSFIELD, OH 44907-2250
(419) 709-8447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0007958-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260387
—
OH
Enumeration date
05/20/2008
Last updated
04/01/2026
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