Moore, Justin

Moore, Justin is an sole proprietor health care provider with primary practice located at 2704 N Oak St Bldg J , Valdosta GA 31602-1768. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Moore, Justin can be contacted via phone (229) 262-7333.

Contact Information

Primary practice address
2704 N Oak St Bldg J Valdosta GA 31602-1768
Phone: (229) 262-7333
Fax: (229) 262-7335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001759 Georgia

Profile Details

NPI number 1437689122
LBN Legal business name Moore, Justin
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2017
Last updated Feb 21st, 2023 - 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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