| Mr Jackie Moore, MA | |
|
18530 Mack Ave Ste 101, Grosse Pointe, MI 48236-3254 | |
| (313) 673-9073 | |
| (313) 884-8442 |
| Full Name | Mr Jackie Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 18530 Mack Ave Ste 101, Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629355870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401007537 (Michigan) | Primary |
| 103TC1900X | Psychologist - Counseling | 6301005272 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jackie Moore, MA 18530 Mack Ave Ste 101, Grosse Pointe, MI 48236-3254 Ph: (313) 673-9073 | Mr Jackie Moore, MA 18530 Mack Ave Ste 101, Grosse Pointe, MI 48236-3254 Ph: (313) 673-9073 |
Mrs. Peggy Schnurr Muelle, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18090 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-318-9615 Fax: 313-881-9615 | |
Ms. Katrina Daphne Stokes, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18090 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-574-7636 | |
Ms. Kyle Lynne Middleton, CTRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Washington Rd, Grosse Pointe, MI 48230 Phone: 313-418-8385 | |
Nicole Mary Kado, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22151 Moross Rd, Grosse Pointe, MI 48236 Phone: 313-343-3534 | |
Nicholas A Bernbeck, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18090 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-590-6339 | |
Maureen Mckinley Light, MSW, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 18090 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-640-7762 Fax: 313-216-2888 |