Moore, Jesalyn

Moore, Jesalyn is an individual health care provider with primary practice located at 5477 Mooretown Rd , Williamsburg VA 23188-2108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moore, Jesalyn can be contacted via phone (757) 941-6254.

Contact Information

Primary practice address
5477 Mooretown Rd Williamsburg VA 23188-2108
Phone: (757) 941-6254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-12-18 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1245685569
LBN Legal business name Moore, Jesalyn
Credentials LSATP, LCAS, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2016
Last updated Oct 23rd, 2022 - about 3 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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