Moore, Jeanne Marie

Moore, Jeanne Marie is an individual health care provider with primary practice located at 5 E 24Th Ave Suite 4, Eugene OR 97405-2907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Jeanne Marie can be contacted via phone (541) 684-9797.

Contact Information

Primary practice address
5 E 24Th Ave Suite 4 Eugene OR 97405-2907
Phone: (541) 684-9797
Fax: (541) 344-5599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2996 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS13412 California

Profile Details

NPI number 1700858412
LBN Legal business name Moore, Jeanne Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700858412 NPPES
Other 77459698Z UNITED BEHAVIORAL HEALTH

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