Jason Edward Moore is a mental health counselor in South Lake Tahoe, CA. Jason Edward Moore NPI is 1043979479. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA
ZIP 96150-305
Phone: (530) 573-7970
The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.