Individual provider · Type 1 NPI
Jacqueline Blair Moore, LPC
Professional Counselor · Dallas, TX
NPI number
1689222754
Active
Practice location
14651 Dallas Pkwy Ste 134
Dallas, TX 75254-8904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 73741 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1689222754
Jacqueline Blair Moore, LPC's National Provider Identifier is 1689222754, issued on Aug 30, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Aug 30, 2019.