NPI 1063636314
Moira Macqueen Conley-Jackson, MFT
Practice location
- Address
- 6057 Chateau Loire CT, Mandeville, LA 70448-7079
- Phone
- (909) 559-8148
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1063636314
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2007
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.