JESALYN MOORE LSATP LCAS MSW NPI 1245685569

NPI Information

NPI: 1245685569
Provider Name: JESALYN MOORE, LSATP, LCAS, MSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5477 MOORETOWN RD
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 941-6254
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Jesalyn Moore, LSATP, LCAS, MSW is an addiction (substance use disorder) counselor in Williamsburg, VA. Jesalyn Moore, LSATP, LCAS, MSW NPI is 1245685569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5477 MOORETOWN RD
WILLIAMSBURG, VA
ZIP 23188-108
Phone: (757) 941-6254

The enumeration date for this NPI number is 4/25/2016 and was last updated on 10/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15-12-18	OREGON	No
2	1041C0700X	Social Worker	Clinical			No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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