Jackie Moore MA

NPI # 

Practice Address:

18530 Mack Ave Ste 101

Grosse Pointe, MI, 48236-3254

Practice Phone:

313-673-9073

Practice Fax:

313-884-8442

License Number:

6401007537

License State:

MI

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X

Updated by NPPES on 11/15/2011. You can view the original data set for NPI # 1629355870 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Jackie Moore , MA 's

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Jackie Moore , MA 's

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