Jason Edward Moore
NPI #1043979479 in South Lake Tahoe, California
Provider Information
- NPI Number
- 1043979479
- Entity Type
- Individual
- Name
- Jason Edward Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 13, 2021
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 1900 LAKE TAHOE BLVD
- City
- South Lake Tahoe
- State
- California
- ZIP Code
- 96150-6305
- Phone
- (530) 573-7970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Manager/Care Coordinator |
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