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Jody Moore, LAC
Counselor in El Mirage, Arizona
NPI 1841950250

Jody Moore is a Counselor based in El Mirage, AZ. Jody Moore practices in El Mirage, AZ and has the professional credentials of LAC. The NPI Number for Jody Moore is 1841950250 and holds a License No. LAC-7007T (Arizona).

The current practice location address for Jody Moore is 14005 N Palm St Apt 3, El Mirage, AZ and can be reached out via phone at 602-607-6166.

Location: 14005 N Palm St Apt 3, El Mirage, AZ, 85335-7041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841950250
Provider Name
Jody Moore
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
14005 N Palm St Apt 3, El Mirage, AZ, 85335-7041
Phone Number
602-607-6166
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14005 N Palm St Apt 3
City
El Mirage
State
Arizona
Zip
85335-7041
Phone Number
602-607-6166
Fax Number
person
Provider Business Mailing Address Details
Address
14005 N Palm St Apt 3
City
El Mirage
State
Arizona
Zip
85335-7041
Phone Number
602-607-6166
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-7007T (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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