Tom Moore, PC

NPI #1851721534 in Jackson, Ohio

Provider Information

NPI Number: 1851721534
Entity Type: Individual
Name: Tom Moore, PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PC
Enumeration Date: Nov 18, 2013
Last Updated: Nov 18, 2013

Practice Location

Address: 500 BURLINGTON RD
Address 2: SUITE 240
City: Jackson
State: Ohio
ZIP Code: 45640-9360
Phone: (740) 286-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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