Individual provider · Type 1 NPI

Jessica Rivers Moore

Mental Health Counselor · Johnson City, TN

NPI number 1619019775 Active

Practice location

3915 Bristol Hwy
Johnson City, TN 37601-1400

Call (423) 283-6503 Map

Mailing address

1757 Powder Branch Rd
Johnson City, TN 37601-6221

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619019775

Jessica Rivers Moore's National Provider Identifier is 1619019775, issued on Feb 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2007.