Individual provider · Type 1 NPI

Jake Moore, BA

Mental Health Counselor · Boulder, CO

NPI number 1710227327 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Call (303) 443-8500 Map

Mailing address

13830 Dogleg Ln
Broomfield, CO 80023-9571

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710227327

Jake Moore, BA's National Provider Identifier is 1710227327, issued on Feb 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Feb 18, 2013.