Jason Lamont Moore, LPC
NPI #1265241053 in Garfield Heights, Ohio
Provider Information
- NPI Number
- 1265241053
- Entity Type
- Individual
- Name
- Jason Lamont Moore, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 6, 2025
- Last Updated
- Jan 6, 2025
Practice Location
- Address
- 7608 JEFFRIES AVE
- City
- Garfield Heights
- State
- Ohio
- ZIP Code
- 44105-6514
- Phone
- (317) 889-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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