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:
Health care specialties
Specialty | Code | License # | 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 10 months 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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