| Doctor Name: | DR. JEFFREY MOORE |
| NPI Number: | 1154675668 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, S-LPC, NCC |
| License Number: | 2423 |
| Business Practice Address: | 1600 4th Ave N Bessemer, AL - 350205711 |
| Business Phone Number: | 2057032020 |
| Business Fax Number: | 2059576601 |
| Mailing Address: | Po Box 11642, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352021642 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2012 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 2423 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |