Search › Indiana › 101YM0800X
Jerrold Moore, LMHC
NPI 1649692054 · on the registry since 2014
Practice
- Address
- 990 Illinois St
Plymouth, IN 46563 - Phone
- (574) 936-9646
- Fax
- (574) 935-4773
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-21
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 Indiana