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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700858412 | NPPES |
| Other | 77459698Z | UNITED BEHAVIORAL HEALTH |
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