person
Mrs. Jennifer Pruitt Moore, LPC
Professional Counselor in Statesville, North Carolina
NPI 1184631582

Jennifer Pruitt Moore is a Professional Counselor based in Concord, NC and is specialized in Professional. Jennifer Pruitt Moore practices in Statesville, NC and has the professional credentials of LPC. The NPI Number for Jennifer Pruitt Moore is 1184631582 and holds a License No. 5257 (North Carolina).

The current practice location address for Jennifer Pruitt Moore is 524 Signal Hill Drive Ext, Statesville, NC and can be reached out via phone at 704-871-1045. You can also correspond with Jennifer Pruitt Moore through the mailing address at 284 EXECUTIVE PARK DR STE 100, CONCORD, NC - 28025-1833 (mailing address contact number: 704-939-1100).

Location: 524 Signal Hill Drive Ext, Statesville, NC, 28025-1833
person
Provider Profile Details
NPI Number
1184631582
Provider Name
Jennifer Pruitt Moore
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
524 Signal Hill Drive Ext, Statesville, NC, 28025-1833
Phone Number
704-871-1045
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184631582 05 NC
6103396 05 NC
PC1484 05 SC
institution
Provider Business Practice Location Address Details
Address
524 Signal Hill Drive Ext
City
State
Zip
28625-4391
Phone Number
704-871-1045
Fax Number
person
Provider Business Mailing Address Details
Address
284 Executive Park Dr Ste 100
City
State
Zip
28025-1833
Phone Number
704-939-1100
Fax Number
704-939-1173
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5257 (North Carolina)
Definition
Definition to come...
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