Justin J Moore PHD, LPC, LMFT

NPI 1619171568 - Counselor - 101Y00000X

NPI Details
NPI 1619171568
Gender Male
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
HU BOX # 12262
SEARCY AR, 72149-0001, US
Phone (501) 279-4347
Fax
Business Location
1314 REHOBOTH DR
SEARCY AR, 72143-8456, US
Phone (501) 279-9054
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Arkansas
License Number P0608042
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According to our database, Dr. Justin J Moore PHD, LPC, LMFT NPI is 1619171568, taxonomy code is 101Y00000X and license number is P0608042, license state is located at Arkansas. Justin J Moore PHD, LPC, LMFT physically located at Hu Box # 12262, Searcy AR, 72149-0001. NPI Number Justin J Moore PHD, LPC, LMFT has the Individual type.

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1619171568 NPI number is provided on an as is basis without warranty of any kind. 1619171568 is maintained by the National Plan & Provider Enumeration System. The contents of Justin J Moore PHD, LPC, LMFT are for informational purposes only.