person
Jonathan D Moe, MS
Mental Health Counselor in Cortland, New York
NPI 1053653246

Jonathan D Moe is a Mental Health Counselor based in Cortland, NY and is specialized in Mental Health. Jonathan D Moe practices in Cortland, NY and has the professional credentials of MS. The NPI Number for Jonathan D Moe is 1053653246 and holds a License No. 007454-01 (New York).

The current practice location address for Jonathan D Moe is 10 N Main St, Cortland, NY and can be reached out via phone at 607-753-0234 and via fax at 607-753-0286.

Location: 10 N Main St, Cortland, NY, 13045-2130
person
Provider Profile Details
NPI Number
1053653246
Provider Name
Jonathan D Moe
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
10 N Main St, Cortland, NY, 13045-2130
Phone Number
607-753-0234
Fax Number
607-753-0286
Provider Enumeration Date
03/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
10 N Main St
City
State
Zip
13045-2130
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider Business Mailing Address Details
Address
10 N Main St
City
State
Zip
13045-2130
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
007454-01 (New York)
Definition
Definition to come...
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