Search › Minnesota › 101YP2500X
Jennifer Moore, LPC
NPI 1508385857 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3040 17th Ave S
Minneapolis, MN 55407 - Phone
- (317) 987-6394
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota