Individual provider · Type 1 NPI

Jesse Moore

Mental Health Counselor · Las Vegas, NV

NPI number 1245623503 Active

Practice location

3650 N Rancho Dr, 106
Las Vegas, NV 89130-3150

Call (702) 740-5683 Map

Fax (702) 740-5684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245623503

Jesse Moore's National Provider Identifier is 1245623503, issued on Mar 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 11, 2015.