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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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