person
Jackie Ray Moore
Addiction (Substance Use Disorder) Counselor in New Orleans, Louisiana
NPI 1447746086

Jackie Ray Moore is an Addiction (Substance Use Disorder) Counselor based in New Orleans, LA and is specialized in Addiction (Substance Use Disorder). Jackie Ray Moore practices in New Orleans, LA. The NPI Number for Jackie Ray Moore is 1447746086 and holds a License No. (Louisiana).

The current practice location address for Jackie Ray Moore is 200 S Broad St Ste 7, New Orleans, LA and can be reached out via phone at 504-312-3331.

Location: 200 S Broad St Ste 7, New Orleans, LA, 70119-6447
person
Provider Profile Details
NPI Number
1447746086
Provider Name
Jackie Ray Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 S Broad St Ste 7, New Orleans, LA, 70119-6447
Phone Number
504-312-3331
Fax Number
Provider Enumeration Date
07/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 S Broad St Ste 7
City
State
Zip
70119-6447
Phone Number
504-312-3331
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Broad St Ste 7
City
State
Zip
70119-6447
Phone Number
504-312-3331
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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