person
Jerrold Moore, LMHC
Mental Health Counselor in Plymouth, Indiana
NPI 1649692054

Jerrold Moore is a Mental Health Counselor based in Warsaw, IN and is specialized in Mental Health. Jerrold Moore practices in Plymouth, IN and has the professional credentials of LMHC. The NPI Number for Jerrold Moore is 1649692054 and holds a License No. 39001287A (Indiana).

The current practice location address for Jerrold Moore is 990 Illinois St, Plymouth, IN and can be reached out via phone at 574-936-9646 and via fax at 574-935-4773.

Location: 990 Illinois St, Plymouth, IN, 46580-3163
person
Provider Profile Details
NPI Number
1649692054
Provider Name
Jerrold Moore
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
990 Illinois St, Plymouth, IN, 46580-3163
Phone Number
574-936-9646
Fax Number
574-935-4773
Provider Enumeration Date
01/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
990 Illinois St
City
State
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
574-935-4773
person
Provider Business Mailing Address Details
Address
990 Illinois St
City
State
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
574-935-4773
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001287A (Indiana)
Definition
Definition to come...
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