Individual provider · Type 1 NPI

Eric Shane Moor, MA, LPC, NCC

Counselor · Jackson, MI

NPI number 1407299142 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-4730 Map

Mailing address

1 Ford Pl
Detroit, MI 48202-3450

Other practice locations

  • 30 N Howell St, Hillsdale, MI 49242-1621 · (517) 783-4250

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401014352 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407299142

Eric Shane Moor, MA, LPC, NCC's National Provider Identifier is 1407299142, issued on Apr 11, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, MI. The record was last updated on Jan 14, 2026.