Moore, Kristin

Moore, Kristin is an sole proprietor health care provider with primary practice located at 201 Bridgeton St , Saint Johns FL 32259-0009. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Kristin can be contacted via phone (904) 531-4761.

Contact Information

Primary practice address
201 Bridgeton St Saint Johns FL 32259-0009
Phone: (904) 531-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X SW18129 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X 149018302 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X FL18129 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149018302 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X SW18129 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 149018302 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149018302 Illinois

Profile Details

NPI number 1871956169
LBN Legal business name Moore, Kristin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2016
Last updated Feb 18th, 2024 - about 2 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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