MR. JEFFREY JAY MOORE MA LLPC NPI 1679883920

NPI Information

NPI: 1679883920
Provider Name: MR. JEFFREY JAY MOORE, MA, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
901 EASTERN AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 224-7617
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MR. Jeffrey Jay Moore, MA, LLPC is a professional counselor in Grand Rapids, MI. MR. Jeffrey Jay Moore, MA, LLPC NPI is 1679883920. 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:

901 EASTERN AVE NE
GRAND RAPIDS, MI
ZIP 49503-201
Phone: (616) 224-7617

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401011917	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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