Individual provider · Type 1 NPI

Jeffrey Randolph Moore

Marriage & Family Therapist · Minneola, FL

NPI number 1376408906 Active

Practice location

PO Box 65
Minneola, FL 34755-0065

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMT3144 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

About NPI 1376408906

Jeffrey Randolph Moore's National Provider Identifier is 1376408906, issued on Dec 16, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Minneola, FL. The record was last updated on Dec 16, 2025.