Jaynie Moore's National Provider Identifier (NPI) Details
Jaynie Moore, NCC, LPC, MHSP
NPI: 1851627327
Enumeration Date: 2009-10-19
Last updated: 2009-10-19
Sole Proprietor: YES
Status: active
Postal Address: 1635 MEADOW CHASE LN, KNOXVILLE, TN
Phone: 865-300-4541
Primary Practice Address: 315 HOME AVE, MARYVILLE, TN
Practice's phone: 865-300-4541