person
Mr. Jeffrey Jay Moore, MA,LLPC
Professional Counselor in Grand Rapids, Michigan
NPI 1679883920

Jeffrey Jay Moore is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Jeffrey Jay Moore practices in Grand Rapids, MI and has the professional credentials of MA,LLPC. The NPI Number for Jeffrey Jay Moore is 1679883920 and holds a License No. 6401011917 (Michigan).

The current practice location address for Jeffrey Jay Moore is 901 Eastern Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-224-7617.

Location: 901 Eastern Ave Ne, Grand Rapids, MI, 49505-4805
person
Provider Profile Details
NPI Number
1679883920
Provider Name
Jeffrey Jay Moore
Credential
MA,LLPC
Provider Entity Type
Individual
Gender
Male
Address
901 Eastern Ave Ne, Grand Rapids, MI, 49505-4805
Phone Number
616-224-7617
Fax Number
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503-1201
Phone Number
616-224-7617
Fax Number
person
Provider Business Mailing Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503-1201
Phone Number
616-224-7617
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401011917 (Michigan)
Definition
Definition to come...
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