Individual provider · Type 1 NPI

Jennifer Nichole Moore, MA, LPC

Professional Counselor · St. Louis, MO

NPI number 1275789232 Active

Practice location

330 N Gore Ave
St. Louis, MO 63119-1600

Mailing address

3200 Patterson Place Dr, Apt 207
St. Louis, MO 63129-7006

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2008032303 (MO)

Professional Counselor: Definition to come...

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About NPI 1275789232

Jennifer Nichole Moore, MA, LPC's National Provider Identifier is 1275789232, issued on Aug 11, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Oct 9, 2015.