Individual provider · Type 1 NPI

Jessica Moore

Mental Health Counselor · Fairfax, VA

NPI number 1023931771 Active

Practice location

3923 Blenheim Blvd Ste 62D
Fairfax, VA 22030-2428

Call (571) 520-5454 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0805002802 (VA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1023931771

Jessica Moore's National Provider Identifier is 1023931771, issued on Jul 31, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Aug 4, 2026.