person
Tom Moore, PC
Mental Health Counselor in Jackson, Ohio
NPI 1851721534

Tom Moore is a Mental Health Counselor based in Jackson, OH and is specialized in Mental Health. Tom Moore practices in Jackson, OH and has the professional credentials of PC. The NPI Number for Tom Moore is 1851721534 and holds a License No. C1000230 (Ohio).

The current practice location address for Tom Moore is 500 Burlington Rd, Jackson, OH and can be reached out via phone at 740-286-5075 and via fax at 740-441-4430.

Location: 500 Burlington Rd, Jackson, OH, 45640-9360
person
Provider Profile Details
NPI Number
1851721534
Provider Name
Tom Moore
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
500 Burlington Rd, Jackson, OH, 45640-9360
Phone Number
740-286-5075
Fax Number
740-441-4430
Provider Enumeration Date
11/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0200820 05 OH
institution
Provider Business Practice Location Address Details
Address
500 Burlington Rd
City
State
Zip
45640-9360
Phone Number
740-286-5075
Fax Number
740-441-4430
person
Provider Business Mailing Address Details
Address
500 Burlington Rd
City
State
Zip
45640-9360
Phone Number
740-286-5075
Fax Number
740-441-4430
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1000230 (Ohio)
Definition
Definition to come...
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