Individual provider · Type 1 NPI

Jennifer Eileen Moore, QHMP, MA, LPCINTERN

Mental Health Counselor · Salem, OR

NPI number 1720415425 Active

Practice location

1144 Wallace Rd NW # A798
Salem, OR 97304-3116

Call (503) 597-8751 Map

Mailing address

910 6th St
Charleston, IL 61920-2730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720415425

Jennifer Eileen Moore, QHMP, MA, LPCINTERN's National Provider Identifier is 1720415425, issued on Sep 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jul 25, 2025.