Individual provider · Type 1 NPI

Jaylen O'Neal Moore

Professional Counselor · Scottsdale, AZ

NPI number 1114738903 Active

Practice location

7272 E Indian School Rd
Scottsdale, AZ 85251-3921

Call (480) 389-6971 Map

Mailing address

11287 N Luckenbach St
Surprise, AZ 85388-3150

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLAC-23035 (AZ)

Professional Counselor: Definition to come...

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About NPI 1114738903

Jaylen O'Neal Moore's National Provider Identifier is 1114738903, issued on Jan 20, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Scottsdale, AZ. The record was last updated on Jan 20, 2025.