Individual provider · Type 1 NPI

Benjamin Moore

Mental Health Counselor · Pocahontas, AR

NPI number 1568801504 Active

Practice location

2305 Old County Rd
Pocahontas, AR 72455-4148

Fax (870) 892-0078

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568801504

Benjamin Moore's National Provider Identifier is 1568801504, issued on Jun 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocahontas, AR. The record was last updated on Jun 24, 2013.