Individual provider · Type 1 NPI

Bradley Moore

Mental Health Counselor · Jackson, TN

NPI number 1750025813 Active

Practice location

24 Weatherford Sq
Jackson, TN 38305-2202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750025813

Bradley Moore's National Provider Identifier is 1750025813, issued on Apr 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Apr 25, 2022.