Jol Warren Moore
NPI #1063744993 in Belen, New Mexico
Provider Information
- NPI Number
- 1063744993
- Entity Type
- Individual
- Name
- Jol Warren Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 3, 2010
- Last Updated
- Feb 3, 2010
Practice Location
- Address
- 98 LOGAN ST
- City
- Belen
- State
- New Mexico
- ZIP Code
- 87002-6014
- Phone
- (505) 864-4850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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