NPI 1306055207

Jeri H Moore, MA

Practitioner Marriage & Family Therapist Kokomo, IN

Practice location

Address: 1907 W Sycamore St, Kokomo, IN 46901-5148
Phone: (765) 456-5900
Mailing address: 10330 N Meridian St, Indianapolis, IN 46290-1024

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

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Registry record

NPI: 1306055207
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2007
Record last updated: 8 Sep 2010

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.