person
Mr. Jacob Alexander Moore, MS
Mental Health Counselor in Rockville, Maryland
NPI 1821762220

Jacob Alexander Moore is a Mental Health Counselor based in Columbia, MD and is specialized in Mental Health. Jacob Alexander Moore practices in Rockville, MD and has the professional credentials of MS. The NPI Number for Jacob Alexander Moore is 1821762220 and holds a License No. A0611 (Maryland).

The current practice location address for Jacob Alexander Moore is 9707 Key West Ave Ste 100, Rockville, MD and can be reached out via phone at 240-750-6467.

Location: 9707 Key West Ave Ste 100, Rockville, MD, 21044-2842
person
Provider Profile Details
NPI Number
1821762220
Provider Name
Jacob Alexander Moore
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
9707 Key West Ave Ste 100, Rockville, MD, 21044-2842
Phone Number
240-750-6467
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9707 Key West Ave Ste 100
City
State
Zip
20850-3992
Phone Number
240-750-6467
Fax Number
person
Provider Business Mailing Address Details
Address
9707 Key West Ave Ste 100
City
State
Zip
20850-3992
Phone Number
240-750-6467
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A0611 (Maryland)
Definition
Definition to come...
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