Moore, Conny Jan
Moore, Conny Jan is an individual health care provider with primary practice located at 408 N Kendrick St Flagstaff Child And Family Counseling Center Suite 3, Flagstaff AZ 86001-1582. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Conny Jan can be contacted via phone (928) 774-6364.Contact Information
Primary practice address
408 N Kendrick St Flagstaff Child And Family Counseling Center Suite 3
Flagstaff AZ 86001-1582
Phone: (928) 774-6364
Fax: (928) 556-0504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0341 | Arizona |
Profile Details
| NPI number | 1881651032 |
|---|---|
| LBN Legal business name | Moore, Conny Jan |
| Credentials | M.S., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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